Wiki Release of popliteal entrapment

[GIBBERS]

Good morning,

i need help with coding this surgery...

Left popliteal artery exploration with partial release of the medial gastrocnemius muscle.

The surgery was coded using cpt 35741 (exploration, not followed by surgical repair, popliteal artery)...tricare has denied payment stating this is an 'inpt' code only and the surgery was done 'outpt'...

Is there any cpt code that better discribes this procedure?

Thanks!
Terri

 

[Grintwig]

Did your office get prior authorization for this procedure to be done as an outpatient procedure?
If they did make sure that authorization number is attached to your claim. If they did not then you probably won't get paid