- Helping you with HIPAA Security Solutions.
News
Coding
Surgical Coding Revisional Surgery
I have a patient who had a chevron bunionectomy 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.
Read More
Practice Management
From Tenant to Owner: How an SBA Loan Helped One Healthcare Practice Expand
After years of working as a Project Manager and then falling ill and requiring major brain surgery, Evelyn Johnson fully recovered and started McKinney Direct Care Services in 2016. McKinney Direct Care Services offers home health care services and on-site habilitation services for those with mental disabilities. Fast forward seven years to 2023, and there was a new project to manage…figuring out how to secure a location for the future.
Read More
FDA Recalls
Coding
Wound Care on a Hospice Patient
“I did a house call yesterday on a patient under at-home hospice care. She had a diabetic wound on the foot that I provided care for. I also did “At Risk,” Routine Foot Care as she has Q7 findings. She has Aetna Advantra Medicare Advantage Plan. I have a couple of questions..."
Read More
FDA Recalls
Coding
Cyst vs. Osteomyelitis Surgical Coding
“I have a patient with a possible 1st proximal phalanx cyst vs infection that I plan to do an exploratory procedure and collect some bone cultures / swabs on. The MRI was inconclusive. If I get in there and the bone appears necrotic/infected, I will have on the consent form to allow for a PIPJ arthroplasty. So, we'll get prior auth for all these procedures prior to surgery. But, for the initial planned procedure, how would this be coded?”
Read More