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Knee Ligament Repair vs Reconstruction
What type of graft or fixation material is required to report open extra-articular knee ligament reconstruction code 27427? Our physician is listing “MCL repair” and “MCL reconstruction” within the same operative note. It first describes repair of the ligament using Suture Tape. In a separate paragraph the physician describes insertion of additional Tape, but calls the work “reconstruction”.
Re-exploration Laminectomy Billing
The patient had a re-do laminectomy for stenosis at L3-L4. Can code 63042 be used for this procedure?
Billing for Intestinal Tear During Enterostomy Closure
While performing a cholecystectomy a tear in the small bowel was made during extensive lysis of adhesions. Can repair of this injury be billed in addition to the cholecystectomy? It was unavoidable since it was the consequence of the extensive lysis required?
Billing Code 34713, Using a 12 French or Larger Catheter with EVAR
I almost always use a 12 French or larger catheter for placing the main body for EVAR. Do I always bill the new code 34713, when what I use is a 12 French or larger?
Skin Lesion Excision – Wait for Pathology?
I’ve heard you say to wait for the pathology report in order to bill for the skin lesion excision codes 114xx (benign) and 116xx (malignant)? What if I have a biopsy report – do I still need to wait?
Incident-to Requirements for Medicare
Thank you so much for all the information you gave out in Chicago at the KZA Convention. We always have great take-a-ways when we leave there. I do have a question for you regarding incident-to billing for Medicare.
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