Medical Coding

“I need some clarification on the proper coding for a paronychia on an established patient office visit. I’ve received mixed advice over the last year or so. Anything from CPT 10060 alone, to adding CPT 64450 and CPT 99212. I just want to be correct.”

“I attempted to remove a screw under local anesthesia in the office setting that was placed during a bunion correction about 10 yrs ago. I was unsuccessful and the patient will need to undergo the procedure in the operating room. How would I bill this visit? It was a new patient to the office.”

“I have a patient with a hereditary floating 2nd toe, secondary to joint instability and contracture of the extensor tendon and capsular tissue. I have decided that the most appropriate surgical procedures for the correction of this situation are a V-Y skin-plasty and an extensor tendon lengthening and are coded with CPT code 14040 and CPT code 28234, respectively. However, the ICD code M20.5×2 (Other deformities of toe(s) (acquired), left foot) does not seem to be listed as a potential diagnosis for the above CPT codes. Please help!”