Your Expert Presenter

Margie Scalley Vaught CPC, CPC-H, CCS-P, ACS-EM, ACS-OR

Margie Scalley Vaught, CPC, CPC-H, CCS-P, ACS-EM, ACS-OR, has more than 30 years of experience in the health care arena, including more than 20 years in orthopedic coding, billing and reimbursement. Margie frequently performs internal audits, provides education and training to physicians and office staff, and she helps clinics establish billing and compliance manuals. She is an advisor on orthopedic coding to the Board of Medical Specialty Coding, and she helped to develop the Advanced Orthopedic Coding credentialing exam. Margie has contributed many articles to the AAOS Bulletin, and she serves as consulting editor to both Medical Practice Coding Pro and the Orthopedic Coder’s Pink Sheet.

AAPC Approved CEUs

The American Academy of Professional Coders has approved 1 continuing education unit for this webinar.

BMSC Approved CEUs

The Board of Medical Specialty Coding & Compliance has approved 1 continuing education unit for this webinar. (ACS or SCP)

More Information and CEU FAQs

CPT© American Medical Association. All Rights Reserved.

Lock in proper payment for rotator cuff repair, acromioplasty, debridement and other key shoulder procedures

Orthopedic practices have been bombarded with new bundling rules for shoulder surgery procedures in recent years. From last year’s change, prohibiting practices from bundling shoulder procedure code pairs when both procedures are done on the same shoulder, to the CPT 29826 (Partial acromioplasty) code revision — it’s a constant struggle to stay on top of the latest rules.

Now, in the most recent change, when debriding with another arthroscopic procedure, such as capsulorrhaphy or rotator cuff repair, the debridement procedure is bundled. If you don’t code these properly, your claims will be denied and your practice won’t see that revenue you worked so hard to earn.

Strengthen your ortho code-bundling knowledge to prevent denials. Join coding expert Margie Scalley Vaught to get targeted guidance on new Medicare coding rules for arthroscopic debridement, and brush up on your coding for acromioplasty, synovectomy, SLAP repair and biceps tenodesis…among others.

During this webinar you will learn:

• The difference between a partial and a complete synovectomy, and what must be documented to support each
  
• The most compliant way to bill Medicare for debridement with partial acromioplasty (complicated by Medicare’s new bundling policy for debridement codes 29822 and 29823 with other arthroscopic procedures)
  
• How to report a stand-alone partial acromioplasty and how to report arthroscopic acromioplasty done on the same shoulder as an open rotator cuff repair
  
• Diagnosis coding of common shoulder conditions – including acute and chronic rotator cuff tears – in both ICD-9 and ICD-10 so you get a quick snapshot of new documentation and coding requirements for the new code set
• How to determine when code 23420 (Reconstruction of complete shoulder [rotator] cuff avulsion) is warranted, according to the AMA and AAOS

Rules changed this year for many of your frequently-billed shoulder procedures – get the most up to date information about all these changes, and how it will affect your coding, to ensure full reimbursement.