Wiki Aetna 29880

[daedolos]

Has anyone ever heard of an insurer denying 29880 because it's considered experimental?

Peace
?_?
This is coming from AETNA.

 

[CodingKing]

Here is a list from Aetna of conditions where they consider it experimental and investigational, It mentions degenerative meniscal tears.

http://www.aetna.com/cpb/medical/data/600_699/0673.html

Aetna considers arthroscopic debridement medically necessary for persons presenting with mild-to-moderate (Outerbridge classification I and II) osteoarthritis with knee pain plus mechanical symptoms due to loose bodies and meniscal tears.
Aetna considers arthroscopic partial meniscectomy medically necessary for traumatic meniscal tears. Aetna considers arthroscopic partial meniscectomy experimental and investigational for degenerative meniscal tears.

 

[daedolos]

Unbelievable. Thanks for that research. It helps a lot. I'm gonna have to file an appeal though.

Peace
@_*
No retreat, no surrender.