Commonly Asked Orthopaedic Coding Questions in 2023

Marissa Clemmer, CPC, CCS, CPMA, CPB, CANPC, CPEDC
Karen Zupko and Associates, Inc.

In the March 2024 AAOS Now article, “Commonly Asked Coding Questions in 2023,” Marissa Clemmer, CPC, CCS, CPMA, CPB, CANPC, CPEDC, addresses frequently encountered CPT coding questions from orthopaedic surgeons, practice managers, and coding professionals. The article provides practical clarification grounded in current CPT guidelines, NCCI edits, and payer-specific policies.

Topics include appropriate reporting of spine procedures performed at the same level, correct use of modifier 59, coverage considerations for wound vac placement, dry needling, and biologic augmentation, as well as clarification on services that are not separately billable. Throughout, the article emphasizes accurate documentation and awareness of payer rules to reduce compliance risk.

This resource offers clear, real-world guidance for navigating common coding challenges in orthopaedic practices.

Read the full article on AAOS Now: