My associate doctor recently billed for a hospital outpatient surgery: 28005 and 11981.
The antibiotic spacer kept displacing during the p/o period, so he went back earlier than expected to do the following, hence the patient is still in the post operative global period from the first set of procedures:
28755 -- 58,RT -- M10.9
20705 -- 58,RT -- M86.9
11750 -- 79,T5 -- L60.0
Is this coded correctly with regard to modifiers and diagnosis codes? I personally have never done a staged procedure, and I know my billing company probably won't know either, so I figured I'd ask here first before submitting and getting hit with denials.
by Justina DeBruzzi, Client Services Support at TLD Systems
September 09, 2025
By justina
0 Comments
The Minneapolis Veterans Affairs Medical Center has experienced two distinct and significant data breaches within a seven-month period, revealing multifaceted vulnerabilities in its data protection protocols.
“Has anyone had CIGNA, Tufts, UHC reject CPT code 28310 (Akin osteotomy) as a separate and billable code with a Lapidus arthrodesis/hallux valgus correction with bunionectomy (CPT 28297)? I did appeal with CIGNA and was told that the nurse-coder looked at my appeal and related to me that according to the NCCI Edits, the Akin osteotomy is “part and parcel” included with a Lapidus arthrodesis/ bunionectomy. What is the next step?”
by Justina DeBruzzi, Client Services Support at TLD Systems
September 03, 2025
By justina
0 Comments
The approaching end-of-life (EOL) date for Windows 10, set for October 14, 2025, represents a critical juncture for organizations worldwide. The UK's National Cyber Security Centre (NCSC) has issued an urgent advisory that this is strategic and imperative for long-term cybersecurity. Migration to a supported and more secure platform like Windows 11 prior to the date above is essential to mitigate significant, foreseeable risks.