A diagnostic laparoscopy and surgical removal of the gallbladder, as well as an intraoperative cholangiography, are described in CPT code 47563. Read court documents, court records online and search Trellis.law comprehensive legal database for any state court documents. endobj
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7[^N(r*P:dj_>BBN"". ins.id = slotId + '-asloaded'; Fluoroscopy reported as CPT code 76000 shall not be reported with spinal procedures, . If fluoroscopic guidance is performed for a joint injection for intra-articular contrast enhanced CT or MR arthrography and no conventional radiographic arthrography procedure is performed, it is appropriate to separately report the fluoroscopic guidance code. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Question: 63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver. *This response is based on the best information available as of 12/19/19. Provider performed a close reduction right ankle with application of external fixator for a right ankle pilon fracture. 4 0 obj
Can you give guidance on CPT 15860 as it pertains to colorectal surgery? A limited or localized followup computed tomography study (CPT code 76380) should not be reported separately with a computed tomography guidance procedure. Note: CPT 77001 needs to be listed seperately in addition to code for primary procedure. CPT codes 95970-95973 are used to report electronic analysis services. A limited or localized followup computed tomography study (Procedure code 76380) should not be reported separately with a computed tomography guidance procedure. 63685 Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling. container.appendChild(ins); Total mastectomy with sentinel node biopsy uses codes 19303, 38525-51, and 38900. 479 0 obj
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Fluoroscopy may be reported with CPT 77001, CPT 77002, CPT 77003 & CPT 76000. "BA$g)"y@$o^
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You must log in or register to reply here. CMS payment policy allows one unit of service for any of these codes at a single patient encounter regardless of the number of needle placements performed. Physicians may only bill for the professional component when In this scenario, the RS&I code, 73580, includes fluoroscopy; therefore, code 77002 is not reported separately. injection is part of the fluoroscopic guidance and contrast injection to confirm correct needle localization device)) is bundled into Procedure code 70332. b)H( C'o133Y053u11%2q30hg`>`[htIP8 @ > E!
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sap cpi sftp public key authentication; narrow stance for senior golfers; carmichael funeral home obituaries; cpt code for orif fibula fracture. Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with imageguidance based - CPT code descriptors that specify a minimum number of views include additional . However, if it was used for a different issue, then you can bill for it. var cid = '2759846625'; CPT 77001, CPT 77002, CPT 77003 & CPT 76000 can be reported for Fluoroscopy. Both CPT code 0394T and 0395T include the work of basic dosimetry calculation when performed. Since CPT code 77001 describes fluoroscopic guidance for central venous access device procedures, CPT codes for more general fluoroscopy (e.g., 76000, 77002) shall not be reported separately. Procedure codes for ultrasound (e.g., 76998) should not be reported separately with an ultrasound guidance procedure. You must log in or register to reply here. Answer: Place of service: Ambulatory Surgery Center (POS 24) Physician services billing: Clinical Information CPT 92265 is a, Read More CPT Code 92265 | Description & Clinical InformationContinue, CPT 81432 describes a lab test to detect hereditary breast cancer mutations. container.style.maxHeight = container.style.minHeight + 'px'; <>
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<. ins.style.height = container.attributes.ezah.value + 'px'; CPT CODES 20000-29999 FOR NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL FOR MEDICARE SERVICES 5. JavaScript is disabled. KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com, 6 Essential Coding Rules Everyone Needs to Know. If this is your first visit, be sure to check out the. There are no established codes that describe the use of ICG in other surgical procedure locations. a. imaging is performed in a hospital or non-office facility. If this is your first visit, be sure to check out the. The fluoroscopic guidance (e.g., CPT codes 76000, 77003) is considered inherent in the performance of the percutaneous implantation of the neurostimulator electrode array in the epidural space, as represented by CPT code 63650. Report the following codes: 19301, Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); 38525, Biopsy or excision of lymph node (s); open, deep axillary node (s); +38900, Intraoperative identification (eg, mapping) of sentinel lymph node (s) includes injection of non-radioactive dye, when performed (List separately in LZ$GB lEQmwsKyfG4' You are using an out of date browser. endobj
CPT is a registered trademark of the American Medical Association. Our purpose was to determine whether the use of a laser-aiming device improves the accuracy of intraoperative fluoroscopy to reduce, by implication, radiation exposure in the operating room. Since imaging supervision and interpretation codes include all radiological services necessary to complete the service, it is a misuse of CPT code 77002 to report it separately with CPT code 76930. CPT Code For Laparoscopic Cholecystectomy With IOC CPT code 0395T should be used to report HDR electronic brachytherapy for treating sites other than skin (interstitial or intracavitary). We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Correspondence Language Policy/Example Number 3.70000 CPT Manual or CMS manual coding instruction. Removal of the entire body part and removal of an entire lobe of the liver b. Billing Fluoroscopy with Spine Procedures. Results: More accurate axial correction with reduced surgical time (32min less), intraoperative fluoroscopic images (59 images less) and costs (estimated 412 less) were achieved with the use of . You cannot bill for the fluoroscopy if it is integral to the other procedure(s). ${1"8C8S-[Vi=^rbLA!f`9K""RHG&R E|(eq01FwNxpy{[;1vbTGeUY#:jQ4rl~w.1 K3-&gAwtx?=nw1f5^8t~ff`GAt K:s3V9>JyqKU{y G?q"9Gx?j2/_`UY&;1 radiographs necessary to complete a study are included in the CPT code description. This is important since imaging is bundled into many of the pain procedures ASA members perform, eg interlaminar epidurals (codes 62321, 62323, 62325, 62327), paravertebral blocks (codes 64461 - 64463), transforaminal epidurals (codes 64479-64484),) TAP blocks (codes 64486-64489 . KarenZupko & Associates, Inc. 2023 | All Rights Reserved, 3 Revenue Cycle Strategies to Implement During the COVID-19 Pandemic, 6 Communication Tactics for the COVID-19 Pandemic, Managing Cash Flow During the COVID-19 Pandemic and Other Preparation Tips. Use Additional Crosswalk. jQuery(function() { _initLayerSlider( '#layerslider_73_1v8wjgk48zauu', {createdWith: '6.8.2', sliderVersion: '6.9.2', allowFullscreen: true, pauseOnHover: 'enabled', skin: 'v6', sliderFadeInDuration: 350, useSrcset: true, skinsPath: 'https://karenzupko.com/wp-content/plugins/LayerSlider/assets/static/layerslider/skins/', performanceMode: true}); }); Sessions begin January 2020 and extend through November. x]6oUHWNgz,BeU%Gc`iq9d[*I&U];?o&%74MyL]y|L"ixG?6G[WeUW_{{~@#9Z>)d5F_~/{z^b?~Wfpj$ff8;\&. No separate code may be added for fluoroscopic imaging, as this is included in the 64561-base code.The removal of these electrodes is not separately coded (although it technically might fall temporomandibular joint arthrogram. var pid = 'ca-pub-8407705611028189'; CPT code 77002 describes fluoroscopic guidance for needle placement. ICD-10-PCS. CPT code 50435 (Exchange nephrostomy catheter and/or fluoroscopy) and all associated radiologic supervision and interpretation) describes exchange of a percutaneous nephrostomy catheter, including a diagnostic nephrostogram. <>
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I believe this would be the case if the procedures were completed at the hospital as long as radiology does not review the film. Radiological guidance procedures include all radiological services necessary to complete the procedure.
According to the American Academy of Orthopedic Surgeons (AAOS), fluoroscopy used in surgical procedures is not considered diagnostic, and therefore should not be billed as a separate diagnostic procedure.". Manage Settings CPT Code Guidelines Fluoroscopy 74220 (BA Swallow) Esophagus 74280 Barium Enema with Air 74270 Barium Enema 74430 Cystogram Q9962 Cystograffin 74740 Hysterosalpingogram 58340 Contrast Injection 74410 IVP 74250 Small Bowel Series 76000 (Sniff Test) Fluoroscopic Exam 74240 Upper GI . You are using an out of date browser. Procedure code 77012 for CT guidance. -Report RS&I procedures for interventions. 51605 injection procedure and placement of chain for contrast and/or chain urethrocystography. The unit of service for these codes is the patient encounter, not number of lesions, number of aspirations, number of biopsies, number of injections, or number of localizations. [%GYc# !w! l@RPf 2D@ fg!Ap}lx&>g$&vf Description of CPT 76000: Fluoroscopy (separate procedure), up to one hour physician time. What is the intraoperative Cholangiogram CPT code? Offer. Published by on January 24, 2023 on January 24, 2023 The fluoroscopy used for an intra-articular injection for an enhanced CT or enhanced MR arthrography (typically a mixture of saline, marcaine and nonionic contrast media and/or gadolinium) involves additional physician work. with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure) 0055T . Choosing a Modifier with a Colostomy Revision, Billing for Reopening of Recent Laparotomy. stream
bundled into Procedure code 76930. Clinical Information Cpt 21044 is a surgical procedure used to remove a tumor from the mandible, or lower, Read More CPT Code 21044 | Description & Clinical InformationContinue, CPT 26075 describes an open exploration of the metacarpophalangeal joint, involving an incision to access the joint and removal of any foreign or loose body. Therefore, Procedure code 77002 is The CPT Manual instruction following CPT code 70332 states: (Do not report 70332 in conjunction with 77002). Therefore, CPT code 77002 (Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)) is bundled into CPT code 70332. Notice of Filing, Filed - of medical records- drs hospital at renaissance et al July 19, 2012. endstream
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Therefore, CPT code 77002 is bundled into CPT code 76930. "CPT Copyright American Medical Association. CPT codes and RVU table from 2018 National Physician Fee Schedule . Billing for Intestinal Tear During Enterostomy Closure. In the absence of established codes, the procedure may be reported using an unlisted code. Are You Asking the Right Questions About the A/R? Interventional Radiology Procedure code list, fluoroscopy or CPT code 77012 for CT guidance, CPT 29824, 29827,29828 Arthroscopic rotator cuff repair, COLONOSCOPY BILLING CODES CPT 45380 , 45385, Employer Group waiver plan overview and FAQ, CPT code 47562, 47563, 47564 Laparoscopy, surgical; cholecystectomy. 21 0 obj
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I have a physician stating we should be coding for the intraoperative x-ray and fluoro. The consent submitted will only be used for data processing originating from this website. The infusion of ICG dye as imaging to assess perfusion is inherent to the procedure and not separately reported. Code 38900 is an add-on code to be used with any lymph node biopsy or lymphadenectomy code to indicate the intraoperative work done to identify the sentinel lymph nodes. ins.dataset.adChannel = cid; Ask Dr. Z Disclaimer. The Procedure Manual instruction following Procedure code container.style.maxWidth = container.style.minWidth + 'px'; 2. ODkJ8d\PiD,hV#Doqox?`P{thEVGF=6$R Therefore, lumpectomy with sentinel node biopsy is billed using codes 19301, 38525-51, and 38900. This physician work is separate from the work included in the monitoring and interpretation of the contrast enhanced images included in the CT or MR with contrast procedures. endstream
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Lioresal Intrathecal is intended for use by the intrathecal route in single bolus test doses (via spinal catheter or lumbar puncture) and, for chronic use, only in implantable pumps approved by the FDA specifically for the administration of Lioresal Intrathecal into the intrathecal space. Unless specifically noted, fluoroscopy necessary to complete a radiologic procedure Procedure code 77002 describes fluoroscopic Procedure codes for fluoroscopy (e.g., 76000, 76001) should not be reported separately with a fluoroscopic guidance procedure. 2021 Evaluation and Management Codes: Is a History Required? musculoskeletal procedures; for cranial and spinal procedures, see CPT codes 61781, 61782 or 61783. . Code +22853 is an add-on code and must be reported with an appropriate primary procedure, such as 22548-22586 (Anterior or anterolateral approach technique arthrodesis procedures on the spine [vertebral column]), but there are many other codes that can be reported as a primary code. We and our partners use cookies to Store and/or access information on a device. The Procedure code 72275 (Epidurography, radiological supervision and interpretation) differs from Radiological guidance procedures include all radiological services necessary to complete the procedure. Type 1 Excludes Crosswalk. guidance for needle placement. February 27, 2023 new bill passed in nj for inmates 2022 No Comments . Changes. So, its such an integral part of what they do, and they do not produce any written report giving the fluoroscopic findings separate from the op note, I thought fluoroscopy could not be separately billed by the surgeon, plus in the descriptor for 76000 it says its a separate procedure, meaning its only billable if thats the only thing that was done during that session. 36570 and 36571, (were used for revealing the right basilic vein to the patent. CPT 77002 Sometimes you will need to use the 59 modifier, but if it is clearly being used for a different problem/area, then you would not have to use the modifier. (adsbygoogle = window.adsbygoogle || []).push({}); Billing Guidelines Do, Read More CPT Code 65435 | Description & Clinical InformationContinue, CPT 21044 describes the removal of a malignant tumor from the mandible through an open surgical procedure, either intraorally or extraorally. CPT codes for ultrasound (e.g., 76998) should not be reported separately with an ultrasound guidance procedure. placement that is integral to the epidural, transforaminal and intrathecal injections addressed in var container = document.getElementById(slotId); 77003 TC x 1 (separately billable will depend upon payer policy) (separately billable will depend upon payer policy If you are referring to 76000, this is a "separate procedure" and if carried out as an integral part of another procedure coded cannot be used: You must log in or register to reply here. endstream
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Official Description The CPT book defines CPT code 21044 as: Excision of malignant tumor of mandible. No claim should be submitted for the Findacode says "Use 47605 if intraoperative cholangiography is also performed by placing a small catheter into the cystic duct, instilling 10-20 ml of contrast, and then visualizing the ducts using fluoroscopy." The part I bolded is the part the surgeon would do. Correspondence Language Policy/Example Number 14.70000 Misuse of column two code with column one code. %
Before the breast biopsy, tell your doctor if you: If the breast biopsy will be done . It comes in the damped harmonic motion becomes narrative free essay on. 0
Official Description The CPT book defines CPT code 65435 as: Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage). KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. Posted on . %PDF-1.5
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var lo = new MutationObserver(window.ezaslEvent); Code 77002 is used to describe fluoroscopic guidance for all types of needle placement, i.e., biopsy, aspiration, injection, or localization device. WebA HCPCS/CPT code shall be reported only if all services described by the code are performed. Endoscopic Excision of a Pituitary Tumor (62165) Currently, only one CPT code exists that describes an endoscopic endonasal procedure Bruising is common after core needle biopsy procedures. Clinical Information CPT 76936 is a procedure that utilizes duplex scanning, Read More CPT Code 76936 | Description & Clinical InformationContinue, CPT 65435 describes the removal of the corneal epithelium using abrasion or curettage, with or without chemocauterization, for the purpose of removing an injured or otherwise damaged epithelial layer from the cornea. registered for member area and forum access. The intraoperative cholangiography distinguishes between CPT codes 47562 and 47563.14 September 2016 What is the CPT code for cholangiogram? The coding advice may or may not be outdated. Description of CPT 77002: Fluoroscopic guidance and localization of needle or catheter tip forspine or paraspinous diagnostic or therapeutic injection procedures (paravertebral facet joint nerve or sacroiliac joint, subarachnoid, transforaminal epidural, paravertebral facet joint, epidural) including neurolytic agent destruction. Type 2 Excludes Crosswalk. endobj
Five Myths Your Landlord Wants You to Believe, Telemedicine 101: When, Where, and How to Use It. Select Biliary & Cholangioscopy Procedures 2023 Coding & Payment Quick Guide See important notes on the uses and limitations of this information on page 4. It may not display this or other websites correctly. 535 0 obj
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Ask Dr. Z Knowledge Base houses over 7,000 coding questions and answers dating back to 2010. Her nursing background provides her with the ability to understand both the clinical and coding attributes of a procedure. ASC facility billing: ASC facility billing: 62310 x 1 Note that when combined CT or MRI and conventional radiographic arthrography studies are performed, it would not be appropriate to report the fluoroscopic guidance code separately. hard or digital film(s) maintained to document needle placement. %
CPT code 77002 describes fluoroscopic guidance for needle placement. The Ultrasound CPT Codes and Reimbursement lists below are completely searchable and sortable by column to make it easier for you to find any Ultrasound CPT Code for 2022 or 2023. 77003 -26 x 1 %PDF-1.6
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You are using an out of date browser. var alS = 1002 % 1000; JavaScript is disabled. The CPT code for this procedure is 47564. Designed by Elegant Themes | Powered by WordPress. I believe that is where column 2 comes into play b/c a modifier is not always necessary. Clinical Information CPT 26075 is a, Read More CPT Code 26075 | Description & Clinical InformationContinue, Your email address will not be published. 6GA
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Note: CPT 77002 is only for non-vascular procedures. For a better experience, please enable JavaScript in your browser before proceeding. ins.dataset.adClient = pid; The CPT code 72275 (Epidurography, radiological supervision and interpretation) differs from CPT code 77003 in that it represents a formal recorded and reported contrast study that includes fluoroscopy. HCPCS/CPT codes include all services usually performed as part of the procedure as a . However, there are other qualifiers of "with Fluoroscopy," "with Computerized Tomography," and "with Magnetic Resonance Imaging" to select from . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
For example, a CT with contrast arthrography (without anesthesia) study of the hip would be reported with 27093 for the injection, 77002 for the fluoroscopic guidance and 73701 for the CT with contrast arthrogram. The CPT code 72275 (Epidurography, radiological supervision and interpretation) differs from CPT code 77003 in that it represents a formal recorded and reported contrast study that includes fluoroscopy. 1 0 obj
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HY'8$HgH#' 8[Jn@~. To determine the prevalence of rotator cuff tears in asymptomatic shoulders we conducted a prospective clinical and ultrasonographic study of 411 volunteers. TIP: You can find the complete billing guide for CPT code 76000 here. For example, Procedure code 70332 describes radiological supervision and interpretation of a 5. You can find the complete billing guide for CPT code 77003 here. Place of Service: physician office (POS 11). Radiological supervision and interpretation codes include all radiological services necessary to complete the service. It may not display this or other websites correctly. %%EOF
An example of data being processed may be a unique identifier stored in a cookie. Official Description The CPT book defines CPT code 76936 as: Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging). Current Procedural Terminology, Cpt 2003 - American Medical Association 2003-03-01 CDT 2021 - American Dental Association 2020-09-08 To find the most current and correct codes, dentists and their dental teams can trust CDT 2021: Current Dental Terminology, developed by the ADA, the official source for CDT codes. MIPS 2020: Dont Be Caught with a 9% Medicare Payment Reduction, Five Tips to Ensure Your E/M Documentation Will Pass an Audit, Dont Skip These 8 Orientation Essentials. Joint Injection for Intra-articular Contrast Enhanced CT or MR. Can Too Many Quotes Cause A Patient Scheduling Crisis? Since imaging supervision and interpretation codes C9776 is a valid 2022 HCPCS code for Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct (s) (e.g., cystic duct, common bile duct and common hepatic duct) with Contrast is then injected into the bile duct under fluoroscopy. Can we bill Fluoroscopy CPT 76000 along with laparoscopic procedures? hbbd```b``n+@$y^o_?S%Ll``R\Vc Your email address will not be published. Modifier 59 or X modifiers can be used for CPT 76000 in order to indicate that it is a distinct or independent service. This is rarely paid and for the most part is not worth your time. For a better experience, please enable JavaScript in your browser before proceeding. *This response is based on the best information available as of 1/31/19. two code with column one code For example, Procedure code 76930 describes imaging supervision and interpretation for Cpt Code 77002, 77003 - Fluoroscopic Guidance - Radiology . Some of our partners may process your data as a part of their legitimate business interest without asking for consent. necessary to perform a diagnostic study. 48 0 obj
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Code 77003 is used to describe the fluoroscopic guidance and localization of a needle or catheter tip for spine or paraspinous injection procedures. 77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) average fee amount $90 $100, 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) average fee amount $80 $100. 62310 x 1 62310 x 1 CPT codes 50430 and 50431 should not be reported separately with 50435. She is an expert in analyzing chart documentation and in reengineering practices to enhance the reimbursement process. 2019 CPT includes new instructions specific to imaging guidance. @8@(>pB% \'F)dP6Z#T8Q&XFzh%W X* :aDN9*8N9F(&L). complete billing guide for CPT code 76000 here. WebCPT Code Guidelines Fluoroscopy 74220 (BA Swallow) Esophagus 74280 Barium Enema with Air 74270 Barium Enema 74430 Cystogram Q9962 Cystograffin 74740 Hysterosalpingogram 58340 Contrast Injection 74410 IVP 74250 Small Bowel Series 76000 (Sniff Test) Fluoroscopic Exam 74240 Upper GI Nov. 2010's CPT Assistant article states that fluoroscopy is inclusive to ESI codes and that it should not be reported: "For certain procedures, fluoroscopy is considered inclusive of the procedure (e.g., 22526, 22527, 62263, 64467, 62270-62282, 62310-62319) and not separately reportable." It includes a report of the results. CPT code 64640 will deny as hVNHzLB Codes Deleted in 2023. An imaging guidance code is billed only once per session for Procedure code 77003, fluoroscopy or . Partial incidental appendectomy and the closure portion of a procedure c. Blunt, digital, manual, or mechanical lysis of adhesions d. Partial cholecystectomy - ANSWER ICD-10-CM. New 2023 Codes. Kim is a nationally recognized coding expert. Her energetic and engaging teaching style makes her a sought-after educator, trainer and speaker. ins.style.width = '100%'; the fluro hits an edit with the external fixator. ICD 10 PCS Code 01X64Z5 Transfer Radial Nerve to Median April 8th, 2019 - ICD 10 PCS code 01X64Z5 for Transfer Radial Nerve to Median Nerve Percutaneous Endoscopic Approach is a medical classification as listed by WHO under the range Peripheral Nervous System CPT Coding Hand and Extremity Surgery AAPC