Question

cpt codes

1. In the morning, Dr. Jones attempted to treat a humeral shaft fracture with manipulation. The procedure appeared to be successful. However, later that evening, the patient developed additional problems relating to the fracture. Dr. Williams re-manipulated the fracture. The repeat procedure was a success. What modifier should be appended to the code for the procedure performed by Dr. Williams? 2. A patient injured his elbow in a motorcycle accident. The physician had to excise the radial head and replace it with an implant. How should these services be reported? 3. Percutaneous needle biopsy of muscle of upper arm in a patient with congenital myotonic muscular dystrophy 4. Shelbi presents for removal of sigmoid and rectal polyps. The Pentax video sigmoidoscope was inserted and four polyps were seen scattered between the rectum and proximal sigmoid colon. The largest measured about 1.5 cm in diameter. The others were diminutive, about 4 or 5 mm in diameter. Biopsies were taken of two of these polyps. The pathology report indicated benign polyps.

Answer 1

1) 77 modifier.

Modifier 77 is used to report repeated procedure which is performed by another physician.

2) 24366.

This services is reported as 24366.As the physician replaced radial head with an implant.

3) 20206 code.

Which explains the general excision procedure of muscoskeletal system.

In ICD-9-CM code it is 359.22 which explains the diagnosis of myotonia congenita.