Hips and Knees – Understanding CPT®, CCI and Documentation Issues for Surgical Procedures

Event Information
Product Format
Prerecorded Event
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
60 minutes
Product Description

Understanding Coding, Billing and Documentation Issues for Hip and Knee Surgery.

As the volume of hip and knee surgeries increases, so does the need for accurate coding for these services: getting coding wrong can mean your practice’s bottom line takes a huge payment hit. For instance, more Femoro Acetabular Impingement (FAI) procedures are being done, but unless you’re clear on your private payers’ FAI coverage and diagnoses needed to support medical necessity, you’ll risk denials and reimbursement shortfalls. Your knee arthroscopy procedure coding can also be a problem area, given that CCI/ CPT® don’t agree on some bundling for knee procedures.

Why struggle with coding complexities and payment problems when expert help is available? Join expert speaker Margie Vaught in this session and learn the ins and outs of hip and knee coding. She’ll explain how to report total hip/knee arthroplasty revising and will update you on the latest information from official sources. She will also give tips on what to look for in a given operative note to support the appropriate CPT® and ICD-10 codes as well as modifiers.

Session Highlights

  • How documentation is going to be key for the correct reporting of hip imaging
  • Gain a better understanding of knee arthroscopy procedures
  • Getting the right ICD-10 codes for arthroscopic FAI procedures of the hip and following payer policies
  • Problems with total joint arthroplasties – Go over the complicated infected total joints as well as conversion situations
  • AAOS vs. CCI state regarding bundling issues and which one should be referenced
  • Why measurements are extremely important to payers

Session Agenda

  • Hip arthroscopic issues
  • 29861—Loose bodies via scope
  • Codes 29862 hip debridement via scope
  • 29863—Synovectomy hip via scope
  • Arthroscopic FAI
    • Cam
    • Pincer
  • Payer issues regarding FAI
  • Tonnis classification of osteoarthritis by radiographic changes
  • Outerbridge grades
  • Template for operative note indication paragraph
  • ICD-10 for some payers
  • New lower extremity X-ray codes
  • Knee anatomy and manipulation
  • CPT® code 29875 & 29876
  • Code 29875 & 29876 CCI issues
  • AAOS comments on 29875
  • Chondroplasty issue
  • Knee scopes
  • Documentation examples
  • Aetna new policy
  • Trephination of meniscus
  • Ligaments
  • Scope ACL and other procedures
  • ACL problem procedures
  • Posterolateral corner
  • Staging replacement
  • And more…

Who should attend?

  • Coders
  • Billers
  • Office Managers
  • Practice Manager
  • Orthopedic Surgeons

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Margie Scalley Vaught - Wound Care Coding Expert

With over 30+ years’ experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, understands how offices are structured.  Margie spent twenty years in the field of Orthopedics.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served...   More Info
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