Wiki Cpt 29580

mgalvez

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Hello,

Can CPT 29580-59 and 20550 be billed together. I have a denial for bundling of 29580-59. Procedure was performed on the left side.
 
NCCI Edit due to Standards of medical / surgical practice. Only if performed on opposite side. From NCCI Manual.

Casting/splinting/strapping shall not be reported separately if a restorative treatment or procedure to stabilize or protect a fracture, injury, or dislocation and/or afford comfort to the patient is also performed. Several examples follow: (1) If a provider injects an anesthetic agent into a peripheral nerve or branch (CPT code 64450), the provider shall not report CPT codes such as 29515, 29540, or 29580 for that anatomic area; (2) A provider shall not report a casting/splinting/strapping CPT code for the same site as an injection or aspiration (e.g., CPT codes 20526-20615); (3) Debridement CPT codes (e.g., 11042-11047, 97597) and grafting CPT codes (e.g., 15040-15776) shall not be reported with a casting/splinting/strapping CPT code (e.g., 29445, 29580, 29581) for the same anatomic area.
 
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