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Coding
Coding Pearls
“So, to be clear you can never use L3000KX for a diabetic with neuropathy and diabetic ulcers even if secondary will pay.”
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HIPAA
Phishing Attacks Resulting in $3 Million Settlement
Phishing attacks remain a major cybersecurity threat, particularly in healthcare, where sensitive data is at risk. Your practice must take proactive measures to protect against phishing.
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Coding
ROUTINE FOOT CARE - Chronic Kidney Disease
“Any thoughts on whether ICD-10-CM codes N18.1-N18.6 (chronic kidney disease) are “asterisk” covered diagnoses’ for nail and callus codes? I practice in Illinois. If so, are the date of last service and a Q modifier all that are needed?“
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FDA Recalls
Coding
E/M CODING- Hospital Consultations
“After watching some E/M presentations, it was suggested that hospital consultations should be billed with CPT 99252-CPT 99255. When we billed these codes, our EMR system and our clearing house rejected the codes. They are saying effective 1/1/2010, CMS has announced that they will reject codes. Are we billing the right codes?”
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Coding
Wound Care Coding - Debridement Codes
“I do some part time work in a wound care center. I frequently use CPT 97597 for coding. My biller is telling me not to bill CPT 97597 because it reimburses around $25 or less in a wound care center. However, the facility likes and even encourages me to use CPT 97597. If I do a selective debridement, can I bill CPT 99213 or CPT 99212 instead of CPT 97597? I know that I should not bill CPT 99213-Modifier 25 if there isn’t a separate complaint. Am I required to bill 97597? Is this a scenario that I should be considering CPT 11042?”
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