It is necessary to choose the most relevant option when submitting icd-10 codes, because many insurance companies warned that a denial may occur when a code with a laterality option is not reported. They will not be able to receive this type of codes, when information provided with an unspecified code to insurance companies, that will lead to more critical for your practice. Another code for lumbar spinal stenosis, M48.06 is another element of coding to be aware of. In 2018 this code was split into two separate codes, but many charges still received for invalid codes. Make sure that everyone at your practice is aware that they should be submitting accurate options when submitting these type of codes, M-48.06 (stenosis, lumbar, without neurogenic claudication) or M48.062 (spinal stenosis, lumbar, with neurogenic claudication). Your practice will maintain efficiency when correct codes are submitted and ensure that all submissions are accepted without any further communication required.

One of the latest and updated trends in surgery claim is arthroscopic debridement in the shoulder. Make sure that your claim for this treatment are not denied, you should be aware that the documentation is clear and error free, that indicates whether the procedure was limited or extensive. This treatment has two different codes, which are based on the specific of individual procedure. Healthcare providers must be aware of the arthroscopic biceps tenotomy that is considered to be a part of debridement, and should be coded or included in the below codes.

 29822 - Limited debridement of soft or hard tissue. This code includes anterior or posterior compartment debridement of the labrum, cuff, cartilage, or osteophytes.
 29823 - extensive debridement of soft or hard tissue. Differing from the previous code, this code includes anterior and posterior compartment debridement, along with chondroplasty of the humeral head or glenoid and associated osteophytes. Multiple soft tissue structures (such as labrum, subscapularis, and supraspinatus) are also included under this code.

There are other guidelines related to this procedure detailed in Medicare’s NCCI policy that can apply to many insurance companies policy, along with the awareness of specific codes used for arthroscopic debridement. Healthcare providers must be aware of the fact that when submitting claims, the shoulder is considered a single part anatomic structure. Code 29822 (for limited debridement) is considered in submission for another shoulder arthroscopy procedures, this code should only be reported when it is the only procedure that was performed. Code 29823 functions differently. It cannot be reported with any other shoulder arthroscopy procedure, and the debridement must be extensive in a different area of the shoulder. Exceptions to this rule include:

 29824 - distal claviculectomy
 29827 - rotator cuff repair
 29828 - biceps tenodesis

We hope that you are now feels more informed about current coding issues, so that you can submit your claims more efficiently and accurately. At MaxRemind, we are proud to provide expert and fully trained RCM and practice management services, created to provide benefit to your practice through maximized reimbursements, increased efficiencies, and improved profitability. When you outsource your RCM to us, you will concentrate on your patients and never worry about dealing with coding or billing errors that can create problems to your operations. We will help you prosper and grow your practice.