THE CODINGSEMINAR , PRESENTED BY APMA Saturday, March 30, 2019 Boston, MA Michael G. Warshaw, DPM, CPC ICD-10 AND CPT CODING FOR FIRST RAY SURGERY First Ray Procedures that are Solely Osteotomies CPT Code 28306 Osteotomy, with or without lengthening, shortening, or angular correction, metatarsal; first metatarsal CPT Code 28310 Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Arthrodesis/Fusion CPT 28740 Arthrodesis, midtarsal or tarsometatarsal, single joint CPT 28750 Arthrodesis, great toe; metatarsophalangeal joint Combinations Lapidus and Reverdin CPT 28296 and CPT 28740 Lapidus and Akin CPT 28298 and CPT 28740 Lapidus and Reverdin and Akin CPT 28299 and CPT 28740 Hallux Varus Repair CPT 28313 Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) CPT 28270 Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) CPT 28310 Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) CPT 28306 Osteotomy, with or without lengthening, shortening, or angular correction, metatarsal
Mar 30, 2019 · THE CODING SEMINAR, PRESENTED BY APMA Saturday, March 30, 2019 Boston, MA . Michael G. Warshaw, DPM, CPC
1 THE CODINGSEMINAR , PRESENTED BY APMA Saturday, March 30, 2019 Boston, MA Michael G. Warshaw, DPM, CPC ICD-10 AND CPT CODING FOR FIRST RAY SURGERY First Ray Procedures that are Solely Osteotomies CPT Code 28306 Osteotomy, with or without lengthening, shortening, or angular correction, metatarsal; first metatarsal CPT Code 28310 Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Arthrodesis/Fusion CPT 28740 Arthrodesis, midtarsal or tarsometatarsal, single joint CPT 28750 Arthrodesis, great toe; metatarsophalangeal joint Combinations Lapidus and Reverdin CPT 28296 and CPT 28740 Lapidus and Akin CPT 28298 and CPT 28740 Lapidus and Reverdin and Akin CPT 28299 and CPT 28740 Hallux Varus Repair CPT 28313 Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) CPT 28270 Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) CPT 28310 Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) CPT 28306 Osteotomy, with or without lengthening, shortening, or angular correction, metatarsal; first metatarsal Questions?
INJECTION SUPPLY Injected supply billed with HCPCS “J” codes Do NOT bill for the local anesthetic (lidocaine, etc.) J1020-30 methylprednisolone acetate (Depo-Medrol)
Osteotomy vs. Ostectomy. CPT 28306 Osteotomy, with or without lengthening, shortening, or angular correction, metatarsal; first metatarsal. CPT 28310 Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) CPT 28740
size (after cleansing, prepping, and/or debriding) maximum of 100 sq cm. Specifically, this code is to be used for application of a skin substitute graft to a wound surface area size of 0 to 25 sq cm (first 25 sq cm within the maximum wound size grouping up to 100 sq cm). If the leg/ankle wound area is greater than 25 sq cm, but
Epidemiology Syndesmotic Injuries: •1% to 18% of all ankle sprains •32% develop calcification and chronic pain •High incidence of post traumatic arthritis Greater source of impairment than the typical lateral ankle sprain
Coding For Ulcer Debridement Jeffrey D. Lehrman, DPM, FASPS, MAPWCA . APMA Coding Committee . Expert Panelist, Codingline . APMA MACRA Task Force . Fellow, American Academy of Podiatric Practice Management
The plantar plate is a flexible, sturdy, fibrocartilaginous structure composed primarily of type 1 collagen. Receives insertional fibers from the lumbricals and interosseous tendons . In addition, the plantar plate also supplies the most significant distal attachments of the plantar fascia . 4
•Segmental Pressures and Doppler Velocity Waveforms in the Evaluation of Peripheral Arterial Occlusive Disease: C. Burnham, BSN,RN,RVT.The Journal of Vascular Technology 18[5] 249-255, 1994. INDIRECT TESTING
5/24/2017 14 Primary vs. Secondary Primary repair:Any repair of an acute injury completed within the first 24 hours after the injury. Delayed primary repair: A repair performed within 24 hours to two weeks of the injury. Secondary repair: A repair performed after two weeks of …
• Advanced trophic changes (at least three of the following): • Decrease or absence of hair growth ... • No interactive video or sophisticated on site equipment required • Population Density Issues • Impact on past/future E/M coding • Requires direct interaction between the patient and the health care practitioner in a suitable setting
Gangrene A48.0 Gas Gangrene . I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg . I70.262 Atherosclerosis of native arteries of extremities with
The radiological investigation of 4 suspected physical abuse in children www.rcr.ac.uk 1. Introduction The original document, Standards for radiological investigations of suspected non- accidental injury, was published jointly in 2008 by The Royal College of Radiologists (RCR) and the Royal College of Paediatrics and Child Health (RCPCH).
Glossary of Radiological Terms (continued from previous page) August 2004 Page 2 of 16 Atomic mass unit (amu): 1 amu is equal to one twelfth of the mass of a carbon-12 atom. Atomic mass number: the total number of protons and neutrons in the nucleus of an atom. Atomic weight: the mass of an atom, expressed in atomic mass units. For example, the atomic number
RADIOLOGICAL, AND NUCLEAR (CBRN) DEFENSE B2I3597 Basic Officer Course . B2I3597 CBRN Defense 2 Basic Officer Course CBRN Defense Introduction Ancient Persians were the first to use chemical weapons when they gassed Roman soldiers with toxic fumes 2,000 years ago. Archeologists have found the oldest evidence
Biological, and Radiological Attacks. This document provided build-ing owners, managers, and maintenance personnel with recommen-dations to protect public, private, and government buildings from chemical, biological, or radiological attacks. With U.S. workers and workplaces facing potential hazards
radiological equipment, as well as the technical parameters and values contained in the document, have been extensively reviewed and discussed between 2007 and 2012. This was done in many technical meetings involving specialists in different areas, through an open public consultation from January to June 2010 and in a dedicated workshop held in
Module Objectives • Recognize the basic chemical, physical, radiological properties of uranium and other radioactive materials present at uranium recovery facilities. • Describe the properties of decay products of uranium.Describe the properties of decay products of uranium. • Describe the processes and health physics concerns at conventional mills and in-situ recovery facilities.
