Wiki Need some help on Op note

[midnight1995]

Based on the Op note: the provider is billing 29823, 29826 and 23430 - Any help would be great:
Thank you

 

[Orthocoderpgu]

There has to be more to this op note. The tenodesis is not even mentioned. Not sure that a tenodesis is justified since per the report the tendon is intact without pathology.

 

[midnight1995]

I have attached the Op note again - this is the whole Op note - this is why I am having trouble with the codes.

 

[Orthocoderpgu]

I have attached the Op note again - this is the whole Op note - this is why I am having trouble with the codes.

Under "Procedures Performed" the only procedure that your doctor admitted to performing was the subacromial decompression. Why your doctor wants to bill other procedures is beyond me. You are correct to question the coding.

 

[midnight1995]

Thank you.
Here is the issue 29826 is an add on code and this has to be with the prime procedure.

 

[cclarson]

Thank you.
Here is the issue 29826 is an add on code and this has to be with the prime procedure.

Since 29826 is an add-on code, you could possibly try using 29822 instead for limited debridement? I believe this is a safe replacement since the bursa and acromion were debrided.