codes for MSK procedures

[AndyDufrane]

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my hospital has asked to provide codes to use for MSK US procedures, does anyone know where I can find this info? thanks in advance

 

[DOctorJay]

76942 for USGI

 

[Gauss]

76942 for guidance
76881 and 76882 for diagnostic evaluation

 

[DOctorJay]

I'd be real careful with the evaluation codes unless you really know what you're doing though and can provide a Radiologist level interpretation of the images.

 

[AndyDufrane]

so what if I am doing a US guided subacromial injection, or US guided knee synvisc injection, or US guided hip injection?

 

[DOctorJay]

76942 plus normal code for those injections. Can google for those.

 

[specepic]

so what if I am doing a US guided subacromial injection, or US guided knee synvisc injection, or US guided hip injection?

code for all those is the same (all large joints-yes bursa at a large joint is still coded large joint):

20610 (large joint)
76942 (US)
med
?E&m that day too (new or f/u) -25 mod

If you are having to figure this our yourself as a new grad wtf with your practice manager and biller/coder?

 

[RUOkie]

code for all those is the same (all large joints-yes bursa at a large joint is still coded large joint):

20610 (large joint)
76942 (US)
med
?E&m that day too (new or f/u) -25 mod

If you are having to figure this our yourself as a new grad wtf with your practice manager and biller/coder?

seriously,

 

[AndyDufrane]

ok, I have tried not to vent about this, but I can't hold it in anymore, so its about my first job out of a spine fellowship, so its a hospital based MSK physiatrist, its a crazy house and disorganized of a place, things are done that do not make sense to me, but me having to figure out the MSK U/S codes is the tip of the iceberg, there are many other things wrong with the place/job, but that is what I have heard your first job is usually like, a good swift kick in the gonads, or like the girl you were with before you met your wife, where you can create a list of things you do not want in a future relationship/job

 

[specepic]

ok, I have tried not to vent about this, but I can't hold it in anymore, so its about my first job out of a spine fellowship, so its a hospital based MSK physiatrist, its a crazy house and disorganized of a place, things are done that do not make sense to me, but me having to figure out the MSK U/S codes is the tip of the iceberg, there are many other things wrong with the place/job, but that is what I have heard your first job is usually like, a good swift kick in the gonads, or like the girl you were with before you met your wife, where you can create a list of things you do not want in a future relationship/job

want to move to NH bro? (If you are who I think you are)

 

[AndyDufrane]

want to move to NH bro? (If you are who I think you are)

I actually have to grin it and deal, we just moved to the area, put down money for new build, so I will be here for the duration of the contract, but will keep all options open, not sure if I am who you think I am

 

[specepic]

I actually have to grin it and deal, we just moved to the area, put down money for new build, so I will be here for the duration of the contract, but will keep all options open, not sure if I am who you think I am

Fair enough

You did violate rule #1 of a new job: RENT 🙂

 

[AndyDufrane]

Fair enough

You did violate rule #1 of a new job: RENT 🙂

Yeah I know, but we do like the general area and I think it might be where we settle, and besides, the rental market here is hot and so is the real estate market, so we will see, I will take it for what its worth, which is now I know what hospital based employment is like

 

[specepic]

Yeah I know, but we do like the general area and I think it might be where we settle, and besides, the rental market here is hot and so is the real estate market, so we will see, I will take it for what its worth, which is now I know what hospital based employment is like

Hospital based practice can be very frustrating. It is like bizarro world. You propose ideas that are perfectly logical and appropriate and they almost get offended. Do not try to solve problems outside of your scope in the hospital of you will fail from a mental health and hospital politics perspective.

When they ask about a code, refer them to the coders who can review your notes. Passive agreesice also works well in the hospital based practice. Sick of long meetings that don'y accomplish ****, find an excuse not to be there. Hosp admin only wants doc's to do as the are told and not add much to the discussion.

Focus on taking good care of your pts and don't try to change the hospital. You will spin your wheels and burn out.