There has been some confusion on how to use this code. The AMA has corrected it's language in CPT's errata. You may want to send a copy of this to your MAC with an appeal letter.My local Medicare carrier is denying codes 29822 & 29826 stating code 29822 requires a 59 modifier??!! I understood that with code 29826 being an add-on code it didn't require modifier usage?! HELP!!!!
Do you have a link to where they issued that statement about not billing 29826 as unlisted? I'm trying to show my physician that it will not get us into trouble to bill it that way, when the subacromial decompression is done by itself. (or am I misunderstanding what you are saying?)29822 is not one of the parent codes of 29826 so you will bill only 29822 or 29823 if bony debridement is done. The AMA issued a statement saying it is not appropriate to bill 29826 as unlisted-which is what we were told to do from the start-and it should be reported as 29822 or 29823. Now if you are performing one of the parent codes then bill 29826 and you should be paid 100% of allowable since it is now an add on code and the rvu's are so very low. Hope this helps.