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| Articles by Gau Gan |
101. New Asthma Diagnosis Codes Create Choices and Confusion
April 11, 2012
" Expanded and refined diagnosis coding for respiratory problems (491-496) presents more choices, and more confusion, for pediatricians. The potentially life-threatening and high-cost condition of asthma (493.xx) is common in pediatrics. So are many types of respiratory infections. Yet the diagnosis...
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102. Meet the Coding Challenges of ACL Reconstruction and Revision
April 11, 2012
There are several methods by which a physician can achieve anterior cruciate ligament (ACL) revision or reconstruction, but only two codes to describe them. Arthroscopic or open ACL repair, thermal ACL shrinkage, revisions, and ACL repair along with other knee procedures make for coding headaches an...
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103. Medicare Determines Status for Unilateral/Bilateral Procedures
April 11, 2012
" When billing for a procedure performed on both eyes, the coder must know whether the payer interprets the code as unilateral or bilateral. If the code is unilateral, the coder must bill it twice, or the practice will lose revenue unnecessarily. If the code is bilateral, bill it only once or the pr...
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104. Know When to Use Glaucoma Screening Codes versus E/M or Eye Codes
April 11, 2012
" Ophthalmologists initially welcomed Medicare's decision to cover glaucoma screening effective Jan. 1, 2002. However, using these codes requires understanding the limitations of G0117 (Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist) and G0118 (Glaucoma scre...
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105. Laminectomy or Hemilaminectomy? Let Documentation Be Your Guide
April 10, 2012
Make sure you're not confusing spinal segments with interspaces
To code correctly for laminectomy and hemilaminectomy (laminotomy), you must know whether the surgeon removes one or more complete lamina from a single vertebra or if he partially removes the lamina from two adjacent ver...
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106. Know the Ropes When You Tackle Pilon Fracture Coding
April 10, 2012
Pilon fractures sometimes involve the fibula
If you think you can't bill external fixation codes along with pilon fracture treatment, you've fallen prey to one of the many myths surrounding pilon fracture coding. Follow our coding advice to put your pilon fracture coding on the righ...
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107. Know the Ins and Outs of Foreign-Body Removal
April 10, 2012
Follow our expert advice and translate FBR coding and billing questions into reimbursement
Foreign-body removals (FBR) are some of the most common procedures optom- etrists perform. Yet confusion persists about proper billing and coding
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108. How To Choose the Correct Diagnostic Endoscopy Code
April 10, 2012
Coding diagnostic nasal endoscopy can prove a challenge, considering a handful of codes cover this procedure:
- 31231 nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)
- ...
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109. Five Steps to EUS Coding Success
April 09, 2012
Payment is down for endoscopic ultrasound procedures performed with fine needle aspiration, but you can capture your practice's maximum, ethical reimbursement by following five simple steps.
Step 1: Determine EUS Code
The ultrasound codes for the upper endoscopies are used t...
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110. Fingers and Toes: Count on Modifiers When Billing Multiple Procedures
April 09, 2012
Proper coding for procedures performed on multiple fingers and toes is a challenge because there are as many different modifiers designating which digit is affected as there are fingers and toes. Familiarizing yourself with these modifiers, as well as with ways to bill for the same procedure on mult...
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Author: Gau Gan
