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Wiki Denied CPT code

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pchamp25

Networker
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Location
New Durham, NH
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Hi all! I was wondering if someone could help regarding a case where a patient was scheduled for R shoulder arthoroscopy, SAD possible subcap repair, biceps tendoesis, possible open but after anesthesia was administered patient's BP became elevated and had some chest pain therefore was transferred to the hospital. Due to this, we coded out 29806 74,RT but insurance is coming back denying claim because 29806 was not authorized. Any suggestions on how to resolve this issue? We can not do a retro authorization for 29806 due to the insurance not accepting retro auths. Would billing out 29828 or 29827 w/modifiers 74, RT be reasonable or no since no procedure was even started, just anesthesia being administered. TIA!
 
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