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Hip Arthroscopic Capsular Plication

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NRaizman

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Colleagues - when our surgeons perform an arthroscopic capsular plication of the hip (either alone or in conjunction with labral repair/reconstruction - 29914-6) for capsular laxity as opposed to merely closing the capsule where your portal was - there is no specific code for this.

How are we successfully getting paid for this - have you had success with 29999 (with comparison to 29806 for example)? Or a -22 modifier?

Our surgeons are desiring to balance bill patients for this, and the private payor contract language generally prohibits this.
Thoughts?
 
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