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Find out what you’ll need to do to get these claims paid. Expansion of the Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transports (RSNAT) will begin as early as Dec. 1 for some independent ambulance suppliers, according to a notice in the Aug. 27 Federal Register. Medicare Part B Coding and Coverage Prior authorization […]
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Make sure your physician practice is prepared for renewed scrutiny of Medicare claims. Medicare Part B post-payment, service-specific medical reviews resumed Aug. 17, 2020, after a brief hiatus due to the COVID-19 public health emergency. Prepare for time-sensitive Additional Documentation Request (ADR) letters by knowing what services Medicare Administrative Contractors (MACs) will be reviewing next. […]
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PRE-OP DX: ischemic ULCER RIGHT LATERAL FOOT
post-op dx: osteomyelitis WITH ISCHEMIC ULCERATION OF RIGHT LATERAL FOOT INVOLVING 4TH AND 5TH METATARSAL AND CUBOID BON
Performed:
1) debridement of right foot to include skin & soft tissue and cuboid bone right foot.
2)Right 5th metatarsal resection, partial
3) right 4th metatarsal resection, partial
Description: (extraction of pertinent verbiage). Ischemic ulceration was then debrided over the lateral foot. This clearly involve the 5th metartarsal bone.
Wound did extend more medially w/involvement of the cuboid bone as well as the 4th metatarsal. These were all sharply debrided back with a rongeur and
the 5th metatarsal was resected along with a portion of the 4th metatarsal. Would was packed w/saline-good bleeding was appreciated from wound bed.
My efforts: I see a debridement here in #1, but not sure about the two codes for #2 and #3. I’m thinking 28122, 28122. (The 5th metatarsal was resected, with a portion
of 4th?), so not sure about choosing the same code for both procedures when one was a partial.
Can anyone offer guidance?
2017 CPT® codes more accurately report and justify reimbursement for providers of physical medicine. New physical therapy (PT), occupational therapy (OT), and athletic training (AT) evaluation codes are the first significant changes to CPT® physical medicine and rehabilitation codes in two decades. Far more numerous, informational, and specialty-focused, the new evaluation codes solve a long-time […]
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