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FDA Recalls
Coding
Surgical Coding Removing Hardware in Clinic
“I have an unusual situation that I am trying to figure out how to code. I had a patient return to the office in the global period after I performed a 1st metatarsophalangeal joint (MTPJ) arthrodesis. Although, the alignment of the fusion looks good, one of the non-locking screws advanced out of the bone and plate and started to tent the skin at the incision site at three weeks post operative. She is neuropathic and denied any trauma to the area. I removed the screw in the office with local anesthesia. Can I bill for unplanned screw removal in the office?”
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HIPAA
Getting ready for FIPS 140-3
Over the years, we’ve published several articles explaining what constitutes a breach and the steps to take if one occurs in your practice. Today, we’re focusing on “Safe Harbor” provisions—specifically, when an incident may not be considered a reportable breach.
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FDA Recalls
Practice Management
Turning Vision into Reality: From Emergency Medicine to Practice Ownership
After more than two decades of delivering exceptional patient care as an emergency room physician, Dr. Koteshwara Nadipalli set his sights on a new goal—building a practice that combined urgent care, wellness, and aesthetic services under one roof. His vision was to create a modern, patient-centered facility that would better serve his community while also improving his quality of life.
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Coding
Revisional Surgery for Hallux Valgus deformity
“I have a patient who had a chevron bunionectomy 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. Thanks.”
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