Q: “I’m getting confused trying to code for ALIF in ICD-10-PCS. It seems so different from ICD-9-CM volume 3 codes.” A: It is very different. First thing we need to know is, what does ALIF stand for? ALIF is an Anterior Lumbar Interbody Fusion Procedure, and so, an additional question
Q: “Provider billed with a modifier 24 with a diagnosis code for trigger thumb only. Does this justify modifier 24? Is it significant enough to warrant payment of E/M within the global period?” A: Really what this question came down to is, what do we have to have to use
Q: Can a Z code be a Primary / Admitting Dx? “Can I use a Z code as a primary/first listed diagnosis? I am struggling with coding aftercare especially.” A: The answer is yes. You can use a Z code for a first listed diagnosis. The thing to understand and
Q: Review of X Modifiers (EPSU) (modifier 59 alternatives) — “Can you review the X modifiers implemented January 1, 2015?” A: Honestly, there really hasn’t been that much of a change. In fact, CMS Medicare hasn’t given us much feedback or examples that consultants and coders have been looking for.
Q: “Can you explain a little bit about modifiers, global surgical package and bundled services?” A: There’s a lot of information in one question. When we start to talk about these, a lot of times you’re going to hear the phrases “global surgical package” and “bundled services.” When you hear