unlisted codes

abevan

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I'm hoping that someone can point me in the right direction, I'm looking for medicare regulations on unlisted procedure codes??? Thanks for the help!!
 

jennsomers

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i also am trying to get paid for unlisted codes by medicare for PEG's. You need to submit documentation and show RVU's and what the closest procedure is.
 

dyoungberg

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Medicare & Unlisted procedure codes

I'm also new to coding and have a question regarding unlisted procedure codes. The post above refers to submitting the RVU's. Is there a way to calculate the RVU's for an unlisted procedure? Or are you referring to submitting RVU's for a similar procedure?
 

dyoungberg

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Anyone able to assist with my previous inquiry? An example I have today is a Arthroscopic Bicipital Tenotomy. Research I've done indicates to bill with 29999.
 

Donna T

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Unlisted procedures are not assigned RVU's for purposes of payment. Some payers recommend that physicians identify the closest or most similiar code to that which they performed. Submit a detailed OP note with a diagnosis and specific narrative of the actual procedure performed and request a specific payment amount for the procedure. Remember, payment is based on the medical review of the procedural documentation submitted. Hopes this helps!

Donna
 
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