megg6785
New
Hello
We have a claim that we are billing to UHC with procedure code 29806. The documentation is brief and to the point. It is as follows:
Findings: Small reverse Hill-Sachs lesion and torn posterior labrum with cartilage damage to the posterior glenoid grade 3 to 4 just on the rim.
Patient was postitioned in the lateral decubitus position. Patient was held in place with a beanbag. The axillary space was kept free. All bony prominences were well padded. The left shoulder was then prepped and drapped in the usual sterile fashion.
An anterior-superior portal was established first and the above findings were noted. A lateral-posterior working portal was then established with a Gemini cannula. The labrum was mobilized off the glenoid and the loose cartilage was debrided with
the suction shaver. The laburm was then repaired to the chondrolabral junction using a total of three Arthrex 2.9 mm short PEEK PushLocks with LabralTape. The anchors were placed at the 5 o'clock, 4 o'clock, and 3 o'clock positions to repair the posterior labrum. The LabralTabe had been passed with a 25-degree lasso.
UHC is stating that another code is more appropriate. Does anyone have any suggestions? We considered 29807, but that is for the upper half of the labrum.
We have a claim that we are billing to UHC with procedure code 29806. The documentation is brief and to the point. It is as follows:
Findings: Small reverse Hill-Sachs lesion and torn posterior labrum with cartilage damage to the posterior glenoid grade 3 to 4 just on the rim.
Patient was postitioned in the lateral decubitus position. Patient was held in place with a beanbag. The axillary space was kept free. All bony prominences were well padded. The left shoulder was then prepped and drapped in the usual sterile fashion.
An anterior-superior portal was established first and the above findings were noted. A lateral-posterior working portal was then established with a Gemini cannula. The labrum was mobilized off the glenoid and the loose cartilage was debrided with
the suction shaver. The laburm was then repaired to the chondrolabral junction using a total of three Arthrex 2.9 mm short PEEK PushLocks with LabralTape. The anchors were placed at the 5 o'clock, 4 o'clock, and 3 o'clock positions to repair the posterior labrum. The LabralTabe had been passed with a 25-degree lasso.
UHC is stating that another code is more appropriate. Does anyone have any suggestions? We considered 29807, but that is for the upper half of the labrum.