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A female patient diagnosed with tear of the subscapularis tendon, biceps tendonitis, subacromial and subcoracoid impingement, underwent arthroscopic rotator cuff repair of the subscapularis tendon,...
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This patient had a complete traumatic amputation of the fingers and thumb on his left hand. The left index and middle fingers were reattached. The left thumb, ring and small fingers were not able t...
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A 12-year-old patient with left proximal tibial procurvatum and varus deformity as well as a right leg length discrepancy as a result of a left Salter-Harris fracture presents for surgical correcti...
The objectiv...
For reporting knee and hip joint replacement procedures, ICD-10-PCS provides three values for the 7th character qualifier: “9,” Cemented, “A,” Uncemented, and “Z,” No qualifier. Most of...
When the cod...
In CY 2005, hospitals were instructed to bill CPT codes 90781, 96412, and 96423 in 8 unit increments for additional hours of infusion on a separate line on the bill. Should we continue to do this i...
In CY ...
Are hospitals allowed to bill more than one “initial hour” drug administration infusion code under OPPS for CY 2006?
...The CY 2006 ...
HCPCS code C8952 (Therapeutic, prophylactic or diagnostic injection; intravenous push) is included in Transmittal 785 as being billable for each different drug/ substance. How should hospitals bill...
HCPCS code C...
How should hospitals bill the administration of pain management medication for beneficiaries placed in observation after an outpatient procedure?
...In general, ...
In Transmittal 784, “January 2006 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications Version 7.0,” CMS states that Correct Coding Initiative (CCI) edits for ...
The response...
In section 230.2.B. of Chapter 4 of the Medicare Claims Processing Manual under the heading “Included Services,” as revised by Transmittal 785, hospitals are instructed that certain specified s...
Hospitals sh...