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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

intrinsic muscle repair of foot

Hi-
I am trying to code muscle repair of a patients foot. He stated he repaired "intrinsic muscle of left foot". The intrinsic muscle of the medial aspect of the foot was isolated both proximally and distally and 2 figure of eight 3-0 Vicryl sutures were used to repair this muscle. I asked the physician and he said he repaired the flexor hallucis brevis muscle of the foot. I cannot find any muscle repair codes. Any help would be greatly appreciated.

Thank you
Deb

Medical Billing and Coding Forum

Hand, Foot and Mouth Disease

Hi, could anyone help me with the icd code for hand foot and mouth disease?

We got B08.4 (Enteroviral vesicular stomatitis with exanthem), but my doctor says that this code seems to reflect mostly on the stomatitis, but not the actual condition of the disease. Any better coding for this (systemic virus infection with manifestation on hand, foot and mouth)

Thank you.

Bamboo

Medical Billing and Coding Forum

Frequency denials for foot care

1. When a patient comes in for foot care before the 61st day, can you bill an E&M in place of the foot care code?

2. Patient has 11055 performed on June 4th on right sub #5 and 11055 performed on June 28th on right sub #1. Can you bill 11055 for both visits since they are different callus’ even though not within 60 days of last callus treatment? We received a denial for this scenario, can this denial be appealed?

OHIO-CGS Medicare

Medical Billing and Coding Forum

Foot x-ray denial due to many/frequency of service

Hi everyone,

Our Podiatrist performs foot xray in the office. But we received a denial from Medicare for CPT codes 73600 (LT ankle x-ray), 73630 (LT foot x-ray), 73590 (LT tibia/fibula x-ray) on the same day of service due to "Payment adjusted because the payer deems the information submitted does not support this many/frequency of services". I checked guideline, all three CPTs with maximum unit for single day of service are 3 units, we did not exceed the daily maximum, all CPT were reported with 1 unit on the same day of service.

On the other hand, the same patient has three consecutive office visits DOS 03/24/2017, 04/26/2017 and 05/12/2017 been submitted with all these XRAY CPT (73600, 73630, 73590) and all CPT with 1 unit per visit. And DOS 05/12/2017 has been paid, but for DOS 03/24/2017 is still pending and DOS 04/26/2017 was denied with too many frequencies. By any chance that Medicare is not covering it because procedures have been performed once a month?

Thank you very much for any input!

Medical Billing and Coding Forum

Any suggestions for on line foot & ankle coding help, like SuperCoder or whatever?

A foot and ankle specialist joined the group about a year ago. I had never coded foot and ankle before so I wanted to learn as he grew. However, he is now extremely busy and performing very complicated surgeries…often!

I’m looking into getting some on line help and I have noticed that there are several services out there. I was wondering if any of you can recommend which one to either go with, or stay away from?

Medical Billing and Coding Forum

Distal Amputation third toe right foot

Good Morning,

Hoping I can get some help on both ICD-10 Diagnosis and CPT on this one. Thanks in advance

Patient has Chronic Ulceration with Osteomyelitis thrid toe right foot (L97519;L03031;M86171)

Procedure: Attention was directed to the distal aspect of the patient’s third toe right foot where an
incision was placed circumscribing the toe just distal to the distal interphalangeal
joint. The incision was deepened down to bone. The distal interphalangeal joint was
identified and the toe was disarticulated at this joint. The distal aspect of the toe was
then excised in total and sent to Pathology for further inspection. Aerobic and anaerobic
cultures were then taken from the joint. The head of the middle phalanx was resected
using power instrumentation. The middle phalanx appeared to be healthy. The bone was
hard and white. No drainage was noted. The remaining portion of the middle phalanx was
rasped smooth. The surgical site was thoroughly irrigated with sterile saline. The deep
structures were closed wit h 3-0 Vicryl and the skin was closed with 4-0 Prolene. Sterile
compressive dressings were then applied. At this time, the tourniquet was released and
intravenous sedation was discontinued.

I am looking at 28825 with Modifier T7

Medical Billing and Coding Forum

Mentor (kind of) for foot & ankle coding

I have been coding surgeries in an ortho office for a few years and we recently had a foot and ankle specialist join the group. If there are any experienced foot and ankle coders who would like to give me a few "pointers", that would be appreciated. Just send me a private message to contact me. I know that knowing a few helpful hints can go a long way coding surgical procedures. Thanks.

Medical Billing and Coding | AAPC Forum