29824

judithdoss

Networker
Messages
27
Location
Oakbrook
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0
Hello everyone,
Lately I have been receiving denials from Work Comp carriers stating that in order to bill for a distal claviculectomy(29824), 8.0 to 10mm has to be removed in order to bill with other codes such as 29827,29826. Medicare has no such restrictions. AAOS had a stipulation back in 2004 that it had to be 1cm, but apparently that has been removed. I can't seem to find anything in writing. Can someone help!

Thanks,
Judy
 

mitchellde

True Blue
Messages
13,430
Location
Columbia, MO
Best answers
1
work comp is not a HIPAA covered entity and therefore they do not have to adhear to a standard definition for a procedure. So you have to follow work comp rules when dealing with work comp.
 
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