unlisted codes

[abevan]

I'm hoping that someone can point me in the right direction, I'm looking for medicare regulations on unlisted procedure codes??? Thanks for the help!!

[paulcado]

What type of info do you need? Does this pertain to a particular type of procedure?

[jalexander]

i also am trying to get paid for unlisted codes by medicare for PEG's. You need to submit documentation and show RVU's and what the closest procedure is.

[dyoungberg]

I'm also new to coding and have a question regarding unlisted procedure codes. The post above refers to submitting the RVU's. Is there a way to calculate the RVU's for an unlisted procedure? Or are you referring to submitting RVU's for a similar procedure?

[dyoungberg]

Anyone able to assist with my previous inquiry? An example I have today is a Arthroscopic Bicipital Tenotomy. Research I've done indicates to bill with 29999.

[dyoungberg]

Any takers on my above request?

[Donna T]

Unlisted procedures are not assigned RVU's for purposes of payment. Some payers recommend that physicians identify the closest or most similiar code to that which they performed. Submit a detailed OP note with a diagnosis and specific narrative of the actual procedure performed and request a specific payment amount for the procedure. Remember, payment is based on the medical review of the procedural documentation submitted. Hopes this helps!

Donna