Coding Coaches

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Orthopaedics

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4/9/15 4/9/15

TLIF

I have an operative report where the neurosurgeon performed L5-S1 minimal invasive transforaminal lumbar interbody fusion (TLIF) with L5/S1 and an instrumented fusion (pedicle screws/rods).…

4/9/15 4/9/15

Claw Toe

We are having some debate about whether CPT code 28285 (hammertoe repair) would be appropriate for fusion of a claw toe? The claw toe is the DIP joint; the hammertoe is the PIP joint.…

3/26/15 3/26/15

Use of Acellular Dermal Matrix for Soft Tissue Reinforcement

What code can I use when I place acellular dermal matrix in a parotid defect? I’ve looked at 15777 and it seems to describe what I’m doing. Is it OK to use this code?

3/12/15 3/12/15

Bone Marrow Aspirate for Grafting

Our surgeon performed a bone marrow aspirate from the iliac crest when performing a spinal fusion. The surgeon gave me CPT code 38230, but I am wondering if this is correct. Can you

2/26/15 2/26/15

CMS Denials for CPT code 22633 and 63047

We reported CPT code 63047 with 22633 for a laminectomy, facetectomy, foraminotomy at the same level to Medicare. Both service were performed at L4-5 and well documented according to…

2/5/15 2/5/15

Measuring Square Centimeters

I’m confused about how to determine the square centimeters for using the Adjacent Tissue Transfer codes (14000-14302). Can you explain it in terms that I will understand?

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