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Thread: Capsulorrhaphy

  1. #1

    Default Capsulorrhaphy

    AAPC: Back to School
    My doc did anterior and posterior capsulorrhaphy w/ interval closure. Pt had a large Hill-Sachs lesion as well as an anterior impaction of the anterior inferior glenoid. The anterior aspect was fixed w/ 2 Bio-lnotless suture anchors, Ethabon and had Ethabon plication posteriorly.
    He wants to bill 29806 2 times seperately as he states 'double the work for a usual capsulorrhaphy'.
    Any ideas on this?
    I thought this could only be billed once.

  2. #2
    Join Date
    Apr 2007


    29806-22 (nice try though...lol)

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Documentation

    It would also be a good idea for the surgeon to dictate WHY this was such a difficult surgery, what aboiut it constituted "double the work" ... this will help with any appeal you might have to make to get the extra $ for the -22 modifier.

    F Tessa Bartels, CPC, CPC-E/M

  4. #4


    Sometimes I think they toss things out there to see if I catch it... lol Thanks - just what I was thinking!!!! Hope everyone is well and looking forward to the holidays!!!

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