Good Afternoon,My physician and I are looking for some advice in regards how to best code this surgical procedure. A little background; our patient had a RT THA a week ago and was ambulating at hom...[ Read More ]
Need some coding advice on this surgical procedure ORIF Periprosthetic Femur FractureNeed to code this for the [I]Assistant Surgeon Charges by [Dr B][/I]Patient had a Hemiarthroplasty for Hip Fract...[ Read More ]
We have been receiving Medicare denials for surgical pathology codes. The remark code is M97-Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbur...[ Read More ]
[TABLE][TR][TD]T84.012A[/TD][TD]Broken internal right knee prosthesis, initial encounter[/TD][/TR][TR][TD]T84.012D[/TD][TD]Broken internal right knee prosthesis, subsequent encounter[/TD][/TR]...[ Read More ]
[QUOTE="AReilly, post: 463322, member: 222570"]For L. Hip revision of the femoral stem look at CPT 27138-LT. Dx would be the complication of the prosthetic joint, for example loosing T84.03- and Z96....[ Read More ]
[QUOTE="hpycoder, post: 463161, member: 9939"]So after coding Gen Surg for nearly 17 years, I have branched off to ORTHO which is relatively new to me at this point in time. Can anyone w/ortho knowle...[ Read More ]
Thanks for clarifying. As for the T codes yes they are fo,r among other things, mechanical complications which could be the cause of a peri prosthetic fracture, in which case you use the T code and n...[ Read More ]
[QUOTE="mitchellde, post: 449647, member: 30657"]OK , However in response you indicated to use an S code if the fracture were traumatic or pathologic which would not be correct. so if there was a tra...[ Read More ]
[QUOTE="max21998@aol.com, post: 449636, member: 141851"]Thank you for the response. By coding the applicable type (traumatic or pathological) 1st, the M97 code 2nd, the book does not direct us to Cod...[ Read More ]
I am questioning that as well. You would not use an S code if it were a pathologic fracture and if it were a new traumatic fracture you would not use the M97. perhaps the payer is wanting to know ho...[ Read More ]
