Category Archives: Medical Coding

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What’s New for Shoulder Surgical Procedure Coding

Get to Know Modifier 59, when to use Code 29826, and All about Debridement

Billers and coders are sailing into 2020 with a host of new updates for shoulder surgical procedures that they need to be familiar with. This complex, fast-changing coding environment demands attention to detail, says orthopedics expert Margie Scalley Vaught. Vaught, who has more than 30 More..

Shoulder Surgical

Master CCI Edits For Shoulder Surgical Procedures

Use modifier 59 inappropriately, and it can cause you a “bundle” of problems

To get paid for all you do, you must correctly code each and every procedure performed—which sometimes means unbundling codes using modifier 59 (Distinct procedural service). However, to decide if and when modifier 59 is appropriate, you must do some heavy lifting. Appending modifier 59 More..

Acromioplasty Coding

Don’t Let Acromioplasty Coding Rest Heavy on Your Shoulders

Make sure the documentation supports coding 29826

If you’re running into problems when reporting CPT code 29826 for acromioplasty, you’re not alone. Follow these expert tips to ensure that you’re coding properly and avoid unnecessary claim denials. Crucial: The most important thing to remember when reporting code 29826 is that it’s not More..

2019 CPT Updates

CPT Update: Modifier 25 Holds Hidden Traps for Coders in 2019

Broadening scrutiny of claims involving modifiers will affect a wide variety of specialties

Modifier 25 used to be your friend, but it may soon become your biggest foe when reporting 2019 CPT codes. Now, government and private payers alike are flagging claims involving modifier 25 for denials and severe payment cuts. Get the guidance you need on modifier More..

Spinal Procedures Coding

Realign Your Spinal Procedures Coding Skills for 2019

Conquer your 63030, 63042 and 63047 coding woes with these tips

To do spinal coding right in 2019, you’ve got to get straight on several new techniques, guidelines and procedures that promise to complicate your billing. And you’ve got to do it quick given that payers and regulators are scrutinizing spinal procedures more closely than ever More..