Skip to main content
  • Helping you with HIPAA Security Solutions.
  • Call Us (631) 403-6687
  • Office HrsMon - Sat: 9.00am to 5:00pm

Coding

Coding

Problems With Prior Hardware

by Dr. Michael Warshaw, DPM, CPC

“We are having difficulty with a denial when combining CPT 28320 and CPT 20680. CPT 20680 is being rejected as unbundling. According to CCI edits, CPT 28320 is a Column 1 code and CPT 20680 is a Column 2 code and they are allowed. The surgeon removed hardware from a prior surgery performed by a different surgeon not associated with the practice then repaired a non-union and applied new fixation. Is the removal of prior hardware actually included in CPT code 28320? If not, what modifier should be used if it is the same incision/surgical site as the non-union repair?”
Read More
Coding

Struggling with Strapping

by Dr. Michael Warshaw, DPM, CPC

“Can CPT code 29580 (strapping – Unna’s boot) be used for ICD code M65.871(2) in lieu of CPT code 29540? If not, what is the best ICD 10 code for CPT 29580?”
Read More
Coding

Coding Pearls: How to Code for Treating a Paronychia

by Dr. Michael Warshaw, DPM, CPC

“I need some clarification on the proper coding for a paronychia on an established patient office visit. I’ve received mixed advice over the last year or so. Anything from CPT 10060 alone, to adding CPT 64450 and CPT 99212. I just want to be correct.”
Read More
Coding

Coding Pearls: Unsuccessful Hardware Removal

by Dr. Michael G. Warshaw, DPM, CPC

“I attempted to remove a screw under local anesthesia in the office setting that was placed during a bunion correction about 10 yrs ago. I was unsuccessful and the patient will need to undergo the procedure in the operating room. How would I bill this visit? It was a new patient to the office.”
Read More
Coding

Coding Pearls: Floating Toe Diagnosis Code

by Dr. Michael G. Warshaw, DPM, CPC

“I have a patient with a hereditary floating 2nd toe, secondary to joint instability and contracture of the extensor tendon and capsular tissue. I have decided that the most appropriate surgical procedures for the correction of this situation are a V-Y skin-plasty and an extensor tendon lengthening and are coded with CPT code 14040 and CPT code 28234, respectively. However, the ICD code M20.5×2 (Other deformities of toe(s) (acquired), left foot) does not seem to be listed as a potential diagnosis for the above CPT codes. Please help!”
Read More