CPT

“I have a patient who returns to the office for recurrent six intractable porokeratosis. I have treated this situation for the patient about three months previously and I billed CPT code 17110 after treating it with an application of Cantharone. Can I bill CPT 17110 at this second visit?”

“We performed a heel injection on the right foot for a patient with plantar fasciitis. I used CPT 20550 -RT. UnitedHealthcare denied the claim stating we could not prove we injected a substance on a CPT code that requires it. I discussed this with the “MARS” auditor and that was her comment. Any suggestions on why this was denied and how to correct it?”

Can CPT codes 11730 and 11750 be billed together on the same toe as part of the same procedure?

Fractures, Dislocations, Casts, and Splints

What is the most appropriate way(s) to bill for the correction of a hammertoe deformity?

Can a hallux valgus correction CPT code be billed if the medial aspect of the head of the 1st metatarsal is not removed?

A patient had a first metatarsophalangeal joint fusion/arthrodesis performed. Approximately 1 month following the procedure, one of the screws that was used to perform the procedure backed out of the bone and the plate that was applied to the 1st MPJ and started to apply pressure beneath the underlying skin at the site of the surgical incision. The screw needed to be removed. What would be the most appropriate CPT code to bill?

Updates Regarding CPT codes 11730 and 11750

CPT® has provided numerous definitions to clarify terms in the current guidelines, such as “chronic illness with exacerbation, progression or side effects of treatment,” and “drug therapy requiring intensive monitoring for toxicity.”

Proper Use of the 59 Modifier