by Randy Rosler, National Director, Podiatry Content Connection
April 11, 2024
By tahlia@tldsystems.com
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Were you aware that the highest-earning 1% of podiatrists distribute more than 10 pairs of orthotics each week? Nonetheless, most podiatrists fall short of maximizing their earnings potential with orthotics. For many podiatrists, orthotics foot orthotics are an underperforming or overlooked profit center in their practice.
But why?
“What constitutes the difference between CPT 10120 and CPT 10121 – simple subcutaneous versus complicated subcutaneous foreign body removal?
Take for example a patient is seen in the clinic with a splinter that I was unable to retrieve simply. Instead, it required local anesthesia and deep probing but no incision or suturing. I removed a 2 centimeter wood splinter. It was subcutaneous, it was “more complicated” than a typical splinter to retrieve (needing local and more than usual probing) yet really wasn’t THAT complicated. How do you define complicated in this case? RVU values for CPT 10121 versus CPT 10120 seem to indicate there are very real differences between the two codes.”
Selecting Advance Care Planning and Implementation of Fall Screening and Assessment Programs as your improvement activities coordinates with hitting Quality Measure 47: Advanced Care Planning, Quality Measure 155: Developing Fall Plan of Care and Quality Measure 130: Review Medications.
“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?”