Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

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

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

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

Practice Exam

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

CMS Forecasts Increase in Dialysis Payment, Health Equity Gap Reduction

Proposed rule improves payment rates, incentives, and ESRD treatment choices. Disadvantaged Medicare patients suffer from end-stage renal disease (ESRD) at higher rates and are also more likely to be readmitted to hospitals, experience higher costs, and receive in-center hemodialysis when their kidneys are no longer able to function properly. Furthermore, non-white patients with ESRD are […]

The post CMS Forecasts Increase in Dialysis Payment, Health Equity Gap Reduction appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

MedPAC Pushes Hospice Rate Freeze, Cap Reduction

If the Medicare Payment Advisory Commission (MedPAC) gets its way, lawmakers will require Medicare to reduce the hospice aggregate cap amount by 20 percent and freeze hospice payment rates for 2021. A 20 percent cap reduction would equal nearly 3 percent less in hospice payments. MedPAC Recommendations In its forthcoming March report to Congress, MedPAC will include […]

The post MedPAC Pushes Hospice Rate Freeze, Cap Reduction appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Closed Reduction with manipulation and percutaneous K-wire fixation

Patient had a closed reduction with manipulation and percutaneous K-wire fixation of left ring finger proximal phalanx intraarticular head fracture. Provider is saying to use CPT 26548 which I totally disagree with but am going back and forth with how to code this one.
26742 with 26776
26742 alone
26608 alone (I don’t like this either but this was suggested by another coder)
or something completely different?

Opinions please

Medical Billing and Coding Forum

Closed Reduction Thumb Fracture

Hi everyone!

Can anyone help me code for a closed reduction and percutaneous pinning of intra-articular proximal phalanx fracture of the thumb? The two codes I am looking at are 26727 and 26742. I can’t decide which one is right because 26727 specifies proximal phalanx, while 26742 specifies articular. Any suggestions?

Thanks!:)

Medical Billing and Coding Forum

coding of an unsuccessful fracture reduction

If a doctor performs an honest attempt at reducing a fracture, and it is unsuccessful, leading to the scheduling of ORIF, is the initial reduction billable? Would it require a modifier? I’m getting different information on the usage of modifier 52 in this scenario.

Thank you

Medical Billing and Coding Forum

Open reduction w/percutaneous pinning-distal phalanx articular fx

I need help with the CPT for the above. Surgeon couldn’t reduce the site under closed reduction so had to go to open. K-wires were placed through the fingertip down to the intramedullary canal of the distal phalanx and across the DIP joint. Physician gave me 26756 but I wander if I should go with open, 26765.
Thank you,

Medical Billing and Coding Forum

Emergency room reduction with moderate sedation

Both of the doctors are emergency room doctors with different NPI’s but the same Tax ID number.
Dr. Blue sees Oliver age 25 and decides a need for a reduction to his left arm, he does the moderate sedation of 25 minutes, while Dr. White does the reduction.
Which moderate sedation code would Dr. Blue bill?
99152-sedation provided by the physician performing the reduction
99156-sedation provided by a physician not performing the reduction.
Basically is this cpt code based off of the NPI or Tax ID.

Medical Billing and Coding Forum

Comment to CMS: Cancel Multiple Procedure Payment Reduction and Mandate Medical Decision-Making

CMS comment submitted by American Osteopathic Association representatives on AMA RUC September 5, 2018, with tracking number: 1k2-9592-adpg Starting 2019, the Centers for Medicare & Medicaid Services (CMS) proposes enacting Multiple Procedure Payment Reduction (MPPR) if an evaluation and management (E/M) service and procedure are performed on the same date of service. Citing abuse of […]
AAPC Knowledge Center

Manual Reduction of testicular dislocation

Looking for a CPT code to use. The doctor tried to do it by bedside but was unable due to discomfort so they decided to do it under anesthesia.

I came to examine the patient and did find that his left testicle has been dislocated and was riding up into the inguinal canal. The right testicle was present without masses or defects. I then placed a significant amount of pressure to slowly milk the testicle down and it popped through the external ring and down into the scrotum. I palpated the testicle again and it appeared to be in good position and there was no swelling or immediate bruising appreciated. There was some ecchymosis at the base of the penis as well as the mons pubis region from his injury, but there was no complications during the reduction of the dislocation.

Would this just be a 99212? I don’t believe there is any CPT code that would go with this?

Medical Billing and Coding Forum