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Insurance Companies

  1. #11
    Medical Coding Books
    I also still use the 29877 for my commercial payors, including BCBS and only have occasional denials. I actually ran an audit and tests a couple of months ago using the G0289 and found that they pay using either, but they pay more for the 29877 than the G0289. I found that 1 of 10 cases gets denied and we then appeal for payment. Havent figured out there methology yet...and DOUBT that I ever will!!

    Mary, CPC, COSC

  2. Default
    Quote Originally Posted by nyyankees View Post
    Thank you all. I have instructed the girls to change the 29877 for BC/BS to the G0289. That will help get these paid.

    Are you doing for ALL commercials? I was always under the assumption that G0289 was needed for Medicare only. Would you recommend G0289 ALWAYS when done with another code? Do you append mod 59 even thought the code descriptor has "in different compartment in same knee"?

    This helps me too. The 29826 always gets the 51 mod. So far BC/BS has been the only one to bundle the shoulder surgeries...

    Yes, I use G0289 for all commercials, that just works for this practice. I do not add 59 to G0289 unless you use this more than once, for example, 29881 Medial, G0289 Lateral, G0289-59patella. Because unlike 29877 where you can only bill that one time the G code can be billed out for each compartment in the same knee.

    Yes according to CPT book that always gets 51 mod when billed with 29827.
    So that's why I bill it that way.

  3. #13
    hickory coding chapter
    We have billed 29880 & 29877-59 to BCBS and have been paid but patient has Medicare secondary. They paid 29880 and denied 29877-59.
    Do we change the 29877-59 to G0289? I was unsure if this is appropriate but I know Medicare wants the G code. Help!!

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