“How do you code for a hospital consultation when the patient is in the postoperative global period from another surgeon? I was called to the local hospital to see a patient that was transferred for medical treatment for an unrelated condition. He had a transmetatarsal amputation (TMA) performed for apparent osteomyelitis at the other hospital by a different podiatric surgeon. I was consulted to evaluate the TMA site and make recommendations for management. How do I code the diagnosis and E/M for this post-operative consultation?”
by Tahlia Brody, VP Client Services at TLD Systems
March 19, 2024
By tahlia@tldsystems.com
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When discussing text messaging, the best practice is to NOT text patients. However, texting can be a useful tool and there are steps your office can take to mitigate the risks associated with texting patients.
You need a total of 40 Improvement points. By completing 2 High Weight Activities, you can complete the requirement. If you are a small practice, practice in a rural area or practice in a health professional shortage area, you receive double points for each activity and only need to complete 1 High Weight Activity. Some High Weight Activities that Podiatrists can use include: CDC Training on CDC’s Guideline for Prescribing Opioids for Chronic Pain, Completion of CDC Training on Antibiotic Stewardship, Provide 24/7 Access to Eligible Clinicians or Groups who have Real-Time Access to Patient’s Medical Record and Provide Education Opportunities for New Clinicians.
“I saw an established patient who returned to the office for “At Risk,” Routine Foot Care. The patient also had a new complaint of heel pain. I obtained X-rays of the foot and gave a steroid injection into the heel. Can I bill for the “At Risk,” Routine Foot Care and those additional treatments as well?”