Wiki Periacetabular Osteomy

[lilo06]

Ortho experts: our providers have been having difficulty getting claims paid for using 27299 when performing a periacetabular osteomy. Anyone have a different suggestion for the following procedures?
1. Hip - Bernese-type periacettabular osteotomy with direct anterior approch w/ internal fixation by multiple AO screws.
2. Anterior ilian crest bone graft to periacetabular oseotomy site.
Thanks

 

[acodeabove]

I have had success billing the 27299 with compare to code of 27146. I would have the providers to write an unlisted letter that supports the use of the 27299 with a compare to code of 27146. This letter should include why it is being used. and whether is it more or less complex than 27146 along with a price.