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.
“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.”
“Can you describe what is a “sufficiently detailed exam” to confirm the diagnosis of peripheral arterial disease? I was audited and the debridement of calluses were denied even documentation of every single class finding were listed. Are we supposed to do ankle brachial indexes, Buerger’s test, etc? Why have class findings if they do not qualify as “sufficiently detailed?”