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29826 add-on

Jamie Dezenzo

True Blue
Mishawaka, IN
Best answers
Usually modifiers not needed for add-on codes....


23412 Open RTC repair
29822 Labral Debride
29826 Sub decompression, add-on
service/procedure, and must never be reported as a stand-alone code. Use 29826 in conjunction with 29806-29825, 29827, or 29828.

but still a bundle per CCI....so -59 modifier still needed?



Albion, NY
Best answers
From an article, in part, from the AAOS:

"CPT code 29826 is an add-on code to CPT codes 29806-29825, 29827 and 29898. Modifier 51 should not be used and 100% reimbursement should be expected.

29826 should not be reported with any other procedure other than those identified as appropriate parent codes. It is not an add-on to code 23410 or 23412 and an unlisted code may not be reported to reflect this work. Instead, append modifier 22 or report 29822 or 29823 as appropriate".

I was told not to report 29826 once the procedure goes from scope to an open procedure and to follow the guidelines above.

Hope this helps!

Kris, COSC