Wiki Can you count the subacromial bursal debridement towards 29823 instead of billing 29826?

[l1ttle_0ne]

I'm trying to understand if the doctor does Shoulder debridement. This case the doctor did shoulder debridement. subacromial decompression including a partial acromioplasty, and a mini open biceps tenodesis. For the structures I can count towards the debridement I come up with the glenoid labrum, rotator cuff, and bursal tissue was debrided and excised. But there was also the 29826 that was done. Can I count the bursal debridment towards the 29823 and not bill for the 29826? Or should I just be billing 29822 and 29826

 

[NRaizman]

Depends on your payor. Most payors deny 29826 because of lack of medical necessity. If they don't pay 29826, then use the bursa and acromial spur as debrided structures for 29823.
N.

 

[l1ttle_0ne]

Ah, so if they do allow for a 29826 it's not appropriate to use that for the 29823

Thank you I really appreciate your response!