Skip to main content
  • Helping you with HIPAA Security Solutions.
  • Call Us (631) 403-6687
  • Office HrsMon - Fri: 9.00am to 5:00pm

Surgical

Coding

Is it Always Appropriate to Bill CPT Code 13160 for Delayed Closure Following an Amputation?

by Dr. Michael Warshaw, DPM, CPC

A diabetic patient undergoes a transmetatarsal amputation. Due to the infectious process, the surgeon decides to perform delayed closure at point “X” in the future. When the time arrives to close the surgical site, the appropriate wound closure code is billed appended by the 58 modifier. This confirms a documented “staged, related, pre-planned procedure.”
Read More
Coding

Removal of Implant and Conversion to Fusion

by Dr. Michael Warshaw, DPM, CPC

“I performed a removal of a failed 1st metatarsophalangeal implant and, at the same setting, an arthrodesis. Should I bill for both the removal of the implant and subsequent fusion?”
Read More
Coding

Lisfranc Amputation and Revision

by Dr. Michael Warshaw, DPM, CPC

“On February 11, a patient has a transmetatarsal amputation. The patient is a non-compliant, diabetic. The site deteriorates weeks after he leaves the hospital. On March 24, he was readmitted for an infected at the amputation site. On March 26, the remaining 5 metatarsals stumps are removed, and the wound is kept open. How would you recommend coding for the 2nd surgery? What is the code for removing the 5 remaining metatarsal stumps?”
Read More
Coding

The Basics of L3260

by Dr. Michael Warshaw, DPM, CPC

“I am reading conflicting information regarding the dispensing of a post-operative/cast shoe. Medicare never seems to pay for this but commercial carriers usually do. I am reading that this shoe is NOT separately payable when it is dispensed in conjunction with a surgical procedure code. You cannot have the patient sign an ABN and charge the patient for the shoe. Please clarify the dos and don’ts of using the L3260 HCPCS code.”
Read More