A Potpourri of Coding Questions

Mary LeGrand, RN, MA, CCS-P, CPC

This column addresses recently asked questions on coding orthopaedic procedures. Remember, you can direct specific coding questions to the AAOS for review by the Coding, Coverage, and Reimbursement Committee and AAOS staff. Visit www.aaos.org/coding for more coding information.

Postoperative period services
We are a new practice and our coders are new to orthopaedic surgery coding. After reading
“Surgical Modifier Application during the Global Period” (AAOS Now, March 2013), we researched our private payer contracts and found that they all follow Medicare’s surgical package rules. After a joint reconstruction, we have been billing for a joint injection for pain management or aspiration of an effusion in the operated joint with a modifier 58. Is this correct? Can you help clarify this scenario?

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