FootZine

FootZine, Volume 89
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An Independent
Newsletter  for Podiatric Staff

from  Gayle S. Johnson

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
There seem to be lots of year-end reminders going around now.  Even more immediate than the increase in the Medicare Part B deductible, which is effective January 1, 2005, is the change in ICD-9-CM codes, which are effective October 1, 2004.  In years past, Medicare and other insurance carriers gave 90 days of leeway for providers to obtain their ICD-9-CM books and start using the newer codes.  This year, CMS will simply reject any claims that use any outdated codes after October 1st.  There are changes in codes that pertain to podiatric services, so it is critical to get the 2005 book now and make those coding changes a top priority.  The 2005 CPT changes will be effective January 1, 2005.

Thanks to all who wrote with this week's answers!

~ Gayle



*_*    Letters    *_*


From:  Debbie Claes, PMAC
re:      Dust Vacuum Bags  (Volume 88)

Dear Gayle,
 
I want to let you know I have enjoyed the articles in the email. they are very helpful.  I want to let you know I have a new email address. ......... I would appreciate it if I could still get the emails.

Also in response to Ingrid re: dust vac bags.  
Jan L. Co. phone 1-609-261-1133 the filters acc -100.  They come in a package of 10. They cost $12.95 + s.h .

Thank you,
 
Debbie Claes, PMAC

*_*    *_*    *_*

From: Janet Grace, PMAC
re:     Thoughts on Certification  (Volume 88)

Hi Gayle -

Thanks for the very good article you wrote.  As Recertification Chair I look at everything the PMACs send in for credit.  The meetings attended are quite varied and I always hope they gained something useful from every one.  When the JOURNAL articles are used as credits I hope they were challenging enough to make them work for the answers.  Yes, our career choice should be something we strive to improve upon every day.

Janet

*_*    *_*    *_*

From:  Ann Estes, PMAC
re:      Minnesota Meeting  (Volume 88)

Gayle,

I wasn't sure who to send a response to so I am sending it to you.  In regard to the Minnesota State meeting I have the following information:  It is scheduled for November 11-13, 2004 at the Minneapolis Marriott.  You can contact Deb Siverhus at (763) 755-5489 or Joan Nowlan at (612) 788-8778 for
information.

Ann Estes, PMAC
Albert Lea Medical Center

*_*    *_*    *_*

From:  Jennifer Bremer
re:      Minnesota Meeting  (Volume 88)

The Minnesota Podiatric Medical Association Foot and Ankle Conference will be held November 11 - 13, 2004.  The meeting will be at a new hotel this year, the Minneapolis Airport Marriott.  You can contact Deb Siverhus for
questions about registration at mnmpma@hotmail.com.

Jennifer Bremer
Office Manager
Associated Podiatrists
6344 Penn Avenue South
Richfield, MN 55423
Phone: (612) 866-3601
Fax: (612) 866-5875
E-mail: info@associatedpodiatrists.com
Website: www.associatedpodiatrists.com

*_*    *_*    *_*

From:  Sue Dissinger
re:      Pennsylvania Meeting

Hi Gayle,

The Pennsylvania Podiatric Medical Assistants Association Meeting will be held November 12 & 13 at the Hilton in Harrisburg, PA.  Please contact Sue Dissinger at 717-336-3121 or at dissinge@redrose.net for more information.

Thanks!

Sue




*_*    FootZine Feeture Article   *_*

Crystal-Clear Coding Q & A
by Rick Horsman, DPM, and Scott Schroeder, DPM

The Question:

My understanding of the Medicare Physical Therapy Guidelines would allow a podiatrist to bill the 97001 and 97002 initial and re evaluation therapy codes, as long as your documentation was sufficient to back these codes. 
Am I correct?
 
Lois Clauss
Office Manager
Allentown Family Foot Care Prof Corp
 
The Answer:

I do not purport myself as an expert in this matter, but it is my understanding that podiatrists CAN bill these codes.  But it must and should be emphasized that they will be held to same high standards of documentation (formal treatment plan, goals, etc.) as would a PT who received this patient on their referral.
 
It is also my understanding that these codes are intended to be used and billed by the practitioner who is providing (and billing for) the PT services.  You do NOT use these codes if you are sending the patient out for the therapy.... you must be doing it "in-house".
 
CPT is not as clear in this matter as it might be, but that is my own best and current interpretation and opinion
 
Rick Horsman, DPM
Olympia, WA

The Question:

Could you please give me a ICD-9 code for Compartment Syndrome -  Dr. says pressure in the calf that pushes on the nerves and tendons which causes pain.  Could you please E-Mail an answer to us?
 
Thank you very much for your time,
 
Alice

The Answer:

ICD-9 729.9    Compartment Syndrome, NONTRAUMATIC
 
ICD-9 958.8    Compartment Syndrome, TRAUMATIC
 
Rick Horsman, DPM


Crystal-Clear Coding tips are posted on the FootZine web site on this page:
http://www.footzine.com/FZ_C.htm



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I recently received a mailing from Bill Armwood at SAS Shoemakers with details about the annual walk that SAS hosts at their ranch northwest of San Antonio.  The Siesta Valley Ranch Walk is the second Saturday in October, the 9th.  This will be the 15th year that SAS has hosted this walk, which Bill describes as "the largest 'non-fundraising' walk in the country (that we know of)." 

People truly come from around the world to take part in this non-competitive, fun walk through a beautiful Texas Hill Country ranch.  There are two walking routes, and anyone who wants to participate can choose either the 3-mile or the 6-mile course.  At the end of the scenic walk, there are prizes and refreshments for all participants.  If I was going to be in that neighborhood, I wouldn't miss it!

The only requisite is to pre-register by October 1st, which is next week.  To learn more about this event you can call Bill Armwood at (210) 921-7455 or Carrie Medina at (210) 921-7838.


*_*

"Of all exercises walking is the best."  - Thomas Jefferson

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Don't forget to write!

 ~ Gayle


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Copyright 2004 Gayle S. Johnson. All Rights Reserved.
DISCLAIMER: Acceptance and publication of any letter, article, news item or advertisement does not necessarily constitute or imply approval or endorsement by myself of the product, idea, or content therein. I reserve the right to edit or to not publish any material received. Any letters published are the property of FootZine. Any health- or legal- and financial- related information is for educational purposes only and should not be construed as medical, legal or financial advice, or a substitute for the advice of a healthcare professional, attorney, financial advisor or any other consultant or professional. Information pertaining to legal matters should not perceived as legal advice, nor should discussion about such issues as Medicare, coding, and billing be considered as definitive. All content is presented as being only the opinions of the contributors and is for educational purposes only.

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