Use of Modifiers for Orthopedic Trauma Treatment Cases Coding

Coding for Orthopedic Trauma, Injuries and Fractures

Event Information
Product Format
Prerecorded Event
Presenter(s)
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Length
60 minutes
Product Description

Tips on Using Modifiers for Orthopedic Trauma Coding to Ensure Proper Reimbursement


Very often, patients being treated for Orthopedic trauma have additional injuries that need to be considered for the treatment planning, including many trips to the operating room. When coding orthopedic trauma cases vs. elective orthopedic cases, there are additional points to consider due to the condition of the patient at the time treatment is planned and the complexity of the injuries that the patient has.

Modifiers become critical when the patient requires multiple surgeries for the treatment in order for proper reimbursement, as well as properly identifying the different body systems involved and treated.  In these cases, coding with the appropriate use of modifiers can become critical.  Knowing the correct CPT® coding guidelines for wounds requiring different types of closure is also important.

Often, trauma cases are the result of motor vehicle accidents, and because of this, the insurance carrier potentially responsible for the claims has to be identified, as well as special coverage limits that may be in place. Claim forms also require additional information to identify the accident, and if omitted, may cause claim denials.

This session with expert speaker Lynn M. Anderanin, CPC, CPPM, CPC-I, COSC, will address the additional information required on claim forms as it can cause a delay in reimbursement if not provided. This session will also provide examples of real cases representing common injuries and treatments. Lynn will not only look at cases utilizing CPT® codes from the musculoskeletal system, but also other body systems like integumentary, cardiovascular, and nervous system.

Session Highlights

  • Understand what defines an orthopedic trauma
  • Proper use of modifiers when multiple surgeries are required
  • Real case studies to get accurate documentation suggestions
  • The use of codes from different body systems within the surgery section
  • Reporting cases where a the physician performing surgery is distinct from the one following up
  • Identify the fracture treatment used and choose the correct code
  • Utilize ICD-10 to assist in telling the "coding story"

 Session Snapshots:

  • Fracture terminology with case examples
  • Debridement Open Fractures
  • Pelvic Fractures
  • Tendon Repairs
  • Mobilization or Transposition
  • Shortening of Bone
  • CPT® Code 69990 Operating Microscope
  • Blood Vessel Graft Repairs
  • Modifier 58, 78 and 79
  • Other injuries and conditions in the global period

Who should attend?

  • Orthopedic surgeons
  • Hand surgeons
  • Non physician providers
  • Coders
  • Collections staff
  • Surgery schedulers
  • Practice managers/administrator

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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1-866-458-2965

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About Our Speaker

Lynn Anderanin - Orthopedic Guidelines Expert for ICD 10

Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the  Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics.  Lynn is currently a  workshop and audio presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...   More Info
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