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Coding
Revisional Surgery
“I have a patient who had a chevron bunionectomy performed 10 years ago. The bunion has returned, and the head is facing lateral. My plan is to perform a Lapidus procedure to reduce the first intermetatarsal angle and a rotational 1st metatarsal head osteotomy to align the articular surface (basically an Austin with a medial based wedge removed from the dorsal osteotomy to rotate the head slightly medial). How would you recommend I code this (ICD-10 and CPT codes)? Can I use CPT 29297 and CPT 29296? I’ve also considered CPT 28740 with CPT 29296.“
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FDA Recalls
HIPAA
Proposed Changes to the HIPAA Security Rule
The U.S. Department of Health and Human Services (HHS) has proposed significant updates to the Health Insurance Portability and Accountability Act (HIPAA) Security Rule to enhance the protection of electronic protected health information (ePHI) amid rising cyber threats.
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FDA Recalls
Coding
Neuroma Injection Reimbursement
“Medicare pays approximately $40 more for E/M code 99213 versus an injection for a neuroma. Can you give the injection and only bill the E/M 99213?”
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Practice Management
Lowering Rejection Rates
Keeping rejection rates as low as possible is important (5% or less; I used to say 3%, but payers often reject for no reason banking on the fact that you are too busy to follow up)
The #1 reason for rejection continues to be SIMPLE HUMAN ERROR so train your staff to be diligent in their attention to detail.
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