Q: I received confusing guidance regarding CPT coding for a segmental spinal fusion with pedicle screws placed at L3 and L4 vertebrae. Would it be appropriate to report CPT code 22612 with add-on code 22614 for this procedure?
Many case management directors have questions that arise from time to time on a variety of topics. Here are two such questions along with responses that may help if you’re facing similar challenges.
Q: How long are we required to retain the records of out-of-state patients? Do we follow HIPAA’s record retention requirements, our state record retention requirements, or the record retention requirements of the state in which the patient lives?
This month's HIPAA Q&A includes answers on doctor's notes, scheduling appointments, hospital social media, alerting patients via text message, and more!
Q: Our team is having a hard time determining a principal diagnosis for a patient with a history of stage 5 chronic kidney disease (CKD) who is receiving chronic hemodialysis and is in acute renal failure (ARF) with volume overload. What ICD-10-CM code should be listed as the principal diagnosis?
