Shoulder Surgical Procedures: Review of Changes, CCI Guidelines, Bundling Issues and More!

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

New Changes and Updates for Shoulder Surgical Procedure Coding, Bundling Issues, and Right Usage and Practicability

The year 2017  has brought in a number of changes and updates for shoulder surgical procedures. It also marked the beginning of the application of new techniques and procedures performed on the shoulders, and the way documentation work is processed has changed as well. These critical changes involve bundling issues that can make life difficult for coders, billers and surgeons alike.

Join expert speaker Margie S. Vaught as she covers the changes regarding shoulder procedure coding and bundling issues. She will also discuss ongoing issues with shoulder procedures and how CCI guidelines and edits changed for 2017. Further, Margie will discuss correct coding and documentation for these procedures, including arthroscopic superior capsular reconstruction (ASCR).

Session Highlights

  • Preparing for better coding of shoulder surgical procedures
  • Understand when Modifier 59 is appropriate from both a CPT® and CCI standpoint
  • Understanding payer/carrier reimbursement policies
  • Identifying codes commonly used in trauma cases of the shoulder
  • Helping surgeons understand the importance of documentation
  • Do you have one of the three magic scope codes?

Session Agenda

  • NCCI guideline changes
    • Chapter One
    • Chapter Four – Sec E
    • Purpose and intent
  • What does this mean about 29823
  • Removal of bundling status indicator
  • Scope procedure issues
  • Codes 29820-29823
  • AAOS comments
  • CPT® assistant 2012, 2013, 2015
  • Issues with 29826 – Acromioplasty
  • CPT® example of supporting documentation
  • Payer denials and examples
  • Distal claviculectomy – Mumford
  • 29824 bundling issues
  • Coding for rotator cuff disease
  • Reconstruction code 23420
  • Crimson duvet issues
  • Superior capsular reconstruction
  • Total shoulder revision
  • Arthroscopic superior capsular reconstruction (ASCR)

Who should attend

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

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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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