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Coding
Billing For Local Anesthetics With Procedures
“I’m in an ongoing debate with my biller. I have always been under the impression that when billing for infected, ingrown nails that local anesthetics were considered part of the procedure. My biller thinks I can charge for them. What is correct?"
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Coding
Nail Biopsy
“I have a patient with a longitudinal striation of her toenail, and we are going to biopsy the nail bed. What ICD-10 do code would you consider for the diagnosis for the biopsy? What is the CPT procedure code for the nail matrix?”
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FDA Recalls
Practice Management
New York’s Updated Mandated Reporter Training: What You Need to Know Before the April 1, 2025 Deadline
New York State is strengthening its approach to child protection with new mandated reporter training requirements. By April 1, 2025, all mandated reporters—including those who have previously completed training—must undergo an updated curriculum that enhances their ability to recognize and respond to child abuse and maltreatment.
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HIPAA
HIPAA is More than Keeping Medical Records Secure
On January 8, HHS announced a settlement of $337,750 with USR Holdings for a violation of the HIPAA regulations. This is significant due to the nature of the HIPAA Violation. Among the violations by USR Holdings was Deletion of electronic Protected Health Information.
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Coding
Post Operative Wound Care
“I was consulted on a patient in 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. Is there a modifier for submitting related charges for necessary services?”
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