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Question: Does Medicare allow CPT code 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace [other than for decompression], single interspace, lumbar) and add-on code 63052 (Laminectomy, facetectomy, or foraminotomy, during posterior interbody arthrodesis, lumbar; single vertebral segment) to be reported at the same level?
Question: We have some patients asking questions about Wegovy (semaglutide) coverage. In some instances they apparently want it for weight loss, but suggest they might be suffering from heart trouble in ways that lead us to believe they’re just looking to get it covered by Medicare Part D, which will not pay for it otherwise. Do we need to have a policy for this?
Question: How can health care entities ensure their business associate agreements (BAA) fully address the cybersecurity risks and responsibilities related to PHI protection?
Question: Can we bill 99211 for an anticoagulation monitoring check when the patient does not see the provider during the visit?
Question: We charge patients $50 if they miss an appointment. I think it’s helped reduce no-shows. But we had one patient who missed an appointment and has refused to pay the fee. My boss wants to send it to collections, but I want to make sure first: Are we actually allowed to do that? (The patient is on Medicare.)
Question: Do you have any advice for encouraging providers to improve documentation for wound sizing in CPT?
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, an independent medical coding education consultant, answers some of the many questions she receives pertaining to physician coding for CPT orthopedic services.
Question: What documentation criteria are required to report CPT critical care codes 99291-99292?
Question: I have seen stories in the press about practices charging “administrative fees” for calls, emails and texts from patients. I can’t see how this would be allowed by insurers. Can I really charge for this?
Question: Our Medicare administrative contractor (MAC) has adopted the new local coverage determination (LCD) for trigger point injections (20552-20553). The LCD limits the number of trigger point injections a patient may receive to three sessions per rolling 12-month period. Will the April 24 visit count as the third injection under the LCD?


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