Wiki open abductor hip repair for tear

cherylbr

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After much research and racking my brains out, I have been directed to code the open abductor hip repair as an unlisted code 27299. I am having trouble with this code being reimbursed by Medicare. It is not an acceptable code on their list of reimbursable codes. Has anyone run into this?
The patient had a tear and it was repaired so it was over and above the tenotomy code 27006 however, for the ASC billing, use of modifier 22 for increased service is also a nonallowed modifier for the ASC billing. Is there an more extensive procedure code for use that would allow for the 52 modifier, for reduced services as modifier 52 is acceptable for ASC billing?
Please give any recommendations!
 
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