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Do the four new X modifiers apply only for Medicare reporting and Modifier -59 only for reporting to other payers?
...The new X mo...
We have always noted once a burn always a burn that you are treating however, that may not be the case every time and we would like some clarification to help us decide when Burn Care would be util...
Based on the...
When excisional debridement classifiable to 11042 and callus excision classifiable to 11055 are performed at the same site, what procedure code(s) should be reported?
NCCI edits state ...
Based on the...
Patient presents for an arthroscopic subacromial decompression, mini-open rotator cuff repair and biceps tendon debridement for chronic rotator cuff tear. We are aware that the shoulder joint is co...
Based on the...
A patient is seen at our facility for a cecostomy tube change. The tube requires change due to poor fit and normal wear and tear. The current tube is removed and a Low-profile Mickey Gastrostomy tu...
There is no ...
Can you provide guidance on how to report a “spacer,” which is filled with graft that is inserted into a cervical space? We have received conflicting coding guidance and would like some clarifi...
Report CPT c...
The CardioMEMSTM HF System is a system that measures and monitors the pressure in the pulmonary artery (PA) and also the heart rate in heart failure patients. The system consists of: implantable PA...
Based on the...
What would the appropriate HCPCS code for demineralized bone matrix (DBM) putty be?
We have conducted extensive research regarding a code assignment and have found multiple options suc...
Bone graftin...
A patient is seen at our facility for a leakage from a previously placed catheter in the left femur which was placed for intraarticular antibiotics to treat an infected sinus tract. The patient is ...
Report CPT c...
Patient has prostate cancer and presents for an intramuscular Lupron injection. Is the drug Lupron considered a hormonal or a non-hormonal drug? What is the correct CPT code for this injection?&nbs...
Lupron is a ...