unlisted code

  1. M

    Wiki Estimating physician payment for unlisted procedure

    We do a good job of finding comparator codes, but RVUs, as well as payment from commercial payers have to ge estimated. What happens if you overestimate in the eyes of the payer? Is there a penalty? Our estimates are data-based, but it’s not an exact science.
  2. I

    Wiki Rotor Study

    My provider is doing a "Rotor Study" (injecting contrast- flouro into the spinal pump to make sure its working properly). I have looked everywhere and still cant find an specific code that would best describe this procedure. Does anyone know if there is a code for this? if not, would the 64999...
    • isa709@yahoo.com
    • Thread
    • billing contrast infusion pump interthecal pump pain management rotor study spinal coding study unlisted code
    • Replies: 0
    • Forum: Billing/Reimbursement
  3. R

    Wiki Negotiating reimbursement for unlisted procedure: Endoscopic Gastrocnemius Release (EGR)

    Has anyone had any luck in negotiating reimbursement for Endoscopic Gastrocnemius Release (EGR), reported with code 29999: Unlisted procedure, arthroscopy? The process is the same for all unlisted codes when negotiating for reimbursement so the specific procedure is not as important as the...
    • ritecode
    • Thread
    • 29999 carve-out negotiation endoscopic gastrocnemius release egr gastroc re office-based surgical suite (obss) podiatry surgery unlisted code
    • Replies: 0
    • Forum: Podiatry
  4. C

    Wiki Preauthorization for Unlisted surgical CPT codes

    Good Afternoon my fellow coders, We are trying to get preauthorization for following arthroscopic knee surgical procedures: Arthroscopic lysis of adhesion (29884) (separate procedure) Arthroscopic MCL reconstruction Arthroscopic or Open heterotopic ossification knee excision/debridement From...
  5. A

    Wiki Please help with laser removal of glottic stenosis!

    I have codes 31622, 31528, and 31570 but from my research the laser removal of stenosis is an unlisted code. I would like to avoid using the unlisted code so does anyone know if there is a better cpt code? or if that would be included in one of the other procedures? I was looking at 31572 but it...
    • AN2114
    • Thread
    • balloon dilation larynoscope laser stenosis subglottic stenosis unlisted code
    • Replies: 5
    • Forum: ENT/Otolaryngology
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