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Thread: Hemi-Cap Procedure

  1. #1
    Join Date
    Apr 2007

    Default Hemi-Cap Procedure

    AAPC: Back to School
    Doctor wants to do a Hemi-Cap Procedure on the knee. Cpt codes 27442/27438.
    Patient has Blue Shield. Implant is $5140.00 each. Has anyone done any of these and want has the outcome been with insurance.

  2. #2
    Join Date
    Apr 2007


    If you MAKE CERTAIN (look at contract yourself) that the procedure codes are covered by your contract as well as the implants (rev code 278) and you should be okay. The key lies in your BCBS contract!

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