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Measure 47 Advanced Care Plan
Description:
Measure 47 Advance Care Plan measures the percentage of patients aged 65 years and older who YOU HAVE ASKED if they have an advance care plan or surrogate decision maker. The discussion must be documented in the patients medical record. The patient having an advance care plan is not required, only that it be discussed during the visit.
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Coding
Coding Pearls - Skin Substitute at Multiple Locations
“I have a patient with a nonhealing pressure wound on his right ankle and his right heel. I applied a skin graft substitute to both sites. I used a single piece and shared it between the two sites. The ICD-10 code I used for the ankle is L89.513. The ICD 10 code I used for the heel is L89.613. For the application codes I utilized CPT code 15271-RT for L89.513 and CPT code 15275-RT for L89.613. The NCCI Edits does not show any conflict, but I am wondering whether a -51 is necessary. I also used the correct Q code for the product.”
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FDA Recalls
Coding
Coding Pearls - G2211
What Is This Code? When Is It Used? Is it Appropriate to be used in Podiatry?
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FDA Recalls
Coding
Wound Care Coding - Post Operative Wound Care
“I was consulted on a patient in the hospital with a large 5th metatarsophalangeal joint ulceration. There was osteomyelitis of the proximal phalanx and metatarsal head. I performed the resection and subsequently performed a delayed closure several days later. The closure left an area open due to soft tissue deficit. This necessitated post operative wound care. I initially billed CPT 28810 and then subsequently CPT 13160. I billed CPT 11042 weekly post operatively, until the wound healed. The private insurance states that all the CPT 11042 billings are considered part of the global.”
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