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Wiki Arthroscopic remplissage & arthroscopic bankart procedure

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Granny

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Oregon, Ohio
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I sent a claim to Medicare for a surgery where patient had an arthroscopic bankart repair
(29806) for anterior instability and an arthroscopic remplissage procedure (29999) for a Hill Sach's defect. I sent a letter with the claim explaining why we used code 29999 and compared the remplissage procedure to code 23465. Medicare bundled the remplissage procedure into the Bankart repair and I am not sure how to appeal this. Does anyone have any suggestions?
 
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