This page addresses follow-up questions and additional information pertinent to our webinar
The Profee Coder’s Guide to Coding in 2024.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: Are new codes 31242 and 31243 intended to be bilateral?
A: Yes, 31242 and 31243 are used to report bilateral procedures. If it is done unilaterally, use modifier 52.
Q: What code is reported for first metatarsal-cuneiform joint fusion without bunionectomy?
A: The correct code to report is 28740.
Q: Where can I find more information on Medicare specific rules for E/M reporting?
A: See the CMS MLN E/M services guide here: https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/eval-mgmt-serv-guide-icn006764.pdf It was just updated in August of 2023!
Shea Lunt, RHIA, CPC, CPMA, PMP
Director of Coding Quality & Compliance
Shea is a Director of Coding Quality & Compliance for The Haugen Consulting Group with 15 years of healthcare industry experience. Shea has experience working on the professional fee side of coding, auditing, education, and compliance serving coders and physicians. Shea has also served as a project lead for ICD-10-CM education initiatives and implementation of computer-assisted coding (CAC) projects. She earned a bachelor’s degree in health information management and a master’s degree in health services administration from the University of Kansas Medical Center in Kansas City, Kansas. Shea is a Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and a Project Management Professional (PMP).
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