“Can someone please clarify the postoperative global period for a percutaneous flexor tenotomy for flexible hammertoes? I thought the postop global for CPT 28010 was ten days. I discovered that it is 90 days! Is it really the same as a bunion correction? I performed an in office flexor tenotomy successfully on one foot and now the patient requests correction for the other foot. I understand how a longer global period would discourage so called “serial surgeries” for higher reimbursements for multiple procedures on one foot. But on the opposite foot as well?”
All HIPAA breaches are investigated by the US Department of Health and Human Services – Office for Civil Rights (OCR). The OCR maintains a web site that lists breaches under investigation as well as those that have been resolved. Reviewing this site can provide us with insight into what has gone wrong for other medical providers. It can help us to understand the steps we can take to avoid similar breaches in our practices.
Recently Medicare expanded their definition of the health care provider who can certify the patient as being diabetic. This brief article will answer some questions, but many others remain unquestioned.
“All the nails were trimmed in length with a sterile nail nipper. The leading edges were debrided with the nail bur and electric podiatry drill. The debris under the edges of the great toenails was derided with the sterile curette. Is this nail trimming (CPT 11719) since we DID NOT debride the entire nail (just edges and under toe) or can we bill as CPT 11721?”