03/17/20 | Telehealth regulations loosened
 

With the Coronavirus issues CMS has loosened the regulations and HIPAA issues that have caused concerns about when telehealth can be used. Check out the new release

Telehealth regulations loosened
 
01/29/20 | New Drug Delivery Codes 20700-20705
 

Stop using 11981-11983 as of Jan 1st 2020- Use the new drug delivery codes 20700-20705 --

New Drug Delivery Codes 20700-20705
 
04/04/19 | Watch your "stem cell" wording - On going FBI investigations
 

For those offices that are using the wording 'stem cells' or charging patients for these services you need to be aware of the FBI ongoing investigations.

Watch your
 
02/28/19 | Great article on the issues with 63047 and 22633 and 22630
 

Find out about the issues between 22633/22630 and 63047 and get the history of these codes.  Great information you can use for your private payer appeals.

Great article on the issues with 63047 and 22633 and 22630
 
01/02/19 | Accessing Newsletters
 

How to get newsletters

Accessing Newsletters
 
01/02/19 | Calendar events
 

Calendar events

Calendar events
 
09/26/18 | Scam audio flyer Fionexia - please don't sign up
 

It has come to my attention that there is a flyer (from Fionexia) that is going out from a company that is fraudualent and stating I am doing an audio for them.  Please do not sign up it is a scam.  The audio they are advertising was done for AudioEducator.com. It appears if you pay for it you may not get anything for your pay!!!

Scam audio flyer Fionexia - please don't sign up
 
08/11/18 | Margie Vaught Newsletters
 

Now you can access and download the newsletters directly from this site. 

Margie Vaught Newsletters
 
Archive - See All Entries

Dr Voss from AAOS did the presentation at the AMA 2020 symposium regarding the new drug delivery codes and stated we are not to use the 1198x series.

The new drug delivery codes are for static, non-articulating spacers. If they are placing articulating spacer you are to use the revision codes when it comes to situations like infected total joints.Anytime that they are using an articulating spacer the revision codes will be used everytime.

Anytime that they are using a static spacers you will use the removal prosthesis code for the initial and then final you would report the new removal of spacer code 20705 for totals along with a placement code.

Example THA

Infected left THA were they remove the prosthesis and place a static spacer. The billing would be 27091.

Infection all gone and patient present for inserting a new total joint. They remove the static spacer 20705 and code 27132. This is what we have been doing

Infected left THA were they remove the prosthesis and place an articulating spacer. The billing would be 27134.

Infection all gone and patient present for inserting a new total joint. They remove the articulating spacer and code 27134.

Example TKA

Infected left TKA were they remove the prosthesis and place a static spacer. The billing would be 27488.

Infection all gone and patient present for inserting a new total joint. They remove the static spacer 20705 and code 27447. This again is how we have been doing it.

Infected left TKA were they remove the prosthesis and place an articulating spacer. The billing would be 27487.

Infection all gone and patient present for inserting a new total joint. They remove the articulating spacer and code 27487.

During the question and answering session I asked the AMA and Dr. Voss how people are going to know of this change if they didn't attend the symposium.  They stated that an article will be published and they are telling their members.

The other problem is in the CPT manual the list of primary codes that are allowed with the drug delivery codes,  there are many missing and we were told to send any missing ones to AAOS and AMA.

These drug delivery spacer/beads/seeds codes can be used for other than infected joints such as for fractures,  infections of other issues.

You need to have your surgeons state in the op note what kind of spacer, static vs. Articulating