Question

• Identify two parenthetical notes or guidelines specific to this body system
• Explain why the notes or guidelines you choose are important as a medical coder
• Provide two CPT code examples that would apply to the notes or guidelines you selected
• Discuss when it would be necessary to apply these notes or guidelines to confirm accurate coding

Musculoskeletal System Procedures

After reviewing the Musculoskeletal System in the Surgery section of CPT, you noticed that there are many procedures listed in this section. Take some time to review the various codes that are found in this sub-section.

Investigate what types of common notes and guidelines are pertinent to the Musculoskeletal System.

Answer 1

Medical coding guidelines are important for insurance company to make payment. Each diagnosis codes in the more specificity help regulate medical provider care for their patents. Each codes are important for the service provided, diagnosis and visits. It prevent overflation of medical fees. when failure to coding guidelines it causes high payment, medical records request and denail of claims.
Example: CPT code
20102-wound exploration-trauma(penetration of gunshot). it includes removal of bullet and layer closure.
Exploration of penetrating wound is a separate procedure that associated with subsections
27524-open treatment patella fracture with internal fixation
while coding fracture and type of treatment be sure to identify the site, open or closed treatment, internal or external fixation, etc.
The musculoskeletal subsection is a major section in the CPT surgery area. It will be separated from the anatomic site and procedure performed. when words are mentioned like fixation, manipulation, anesthesia pays attention to code description. it differs the CPR codes mention with each digit, toe, single, etc. It may be need modifiers and multiple codes to be mentioned in this case. Be sure to check the associated section in the case of an open wound. in wound, exploration look at CPT code on major blood vessels and structure repair also. Applying cost/splint should be listed separately. bone graft and biopsy should be coded separately. fracture or dislocation code treatment open. closed if the reduction or reduced used in the records code under manipulation. make sure the site, fracture type, and treatment while coding fracture.