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Coding
Rules For Retained Hardware
“I know things have changed a little for removal of retained hardware and I am seeking clarification for a scenario. A patient has previously had an Austin Akin bunionectomy. It healed uneventfully. Years later, she has developed pain at the retained screw in the metatarsal. There is a k-wire noted in the proximal phalanx. X-rays showed complete healing at the osteotomies. The patient would like to have both implants removed despite only one of them hurting today. How would the changes in CPT coding apply to this situation? Thank you for the help.”
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FDA Recalls
HIPAA
Downtime Contingency Planning
PIH Health in California was hit with a ransomware attack which severely impacted its computer and telephone systems. The attack forced the hospital to activate their Downtime Contingency Plan. A downtime contingency plan are the procedures that are followed to maintain the ability to provide patient care in the event of a computer outage. This typically involved going back to recording patient information on paper for later entry into the computer systems when they are back online.
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Coding
Using L3000kx
“So, to be clear you can never use L3000kx for a diabetic with neuropathy and diabetic ulcers even if secondary will pay.”
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Coding
Revisional Surgery
“I have a patient who had a chevron bunionectomy performed 10 years ago. The bunion has returned, and the head is facing lateral. My plan is to perform a Lapidus procedure to reduce the first intermetatarsal angle and a rotational 1st metatarsal head osteotomy to align the articular surface (basically an Austin with a medial based wedge removed from the dorsal osteotomy to rotate the head slightly medial). How would you recommend I code this (ICD-10 and CPT codes)? Can I use CPT 29297 and CPT 29296? I’ve also considered CPT 28740 with CPT 29296.“
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FDA Recalls