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29868

  1. #1
    Location
    Long Island/New York
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    1,271
    Default 29868
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    has anyone gotten paid on 29868 (meniscal transplant)? my doc performed one and BC/BS considers it experimental.

    Any input would be appreciated.

  2. Default
    I never billed that code before; however, when insurances deny codes as experimental, I referred back to the instructions of Category III vs Category I codes as per Karen Zupko at the Ortho seminar and the appeals do work by using the description.

    In the description: For Category I codes, the Panel requests that the service/procedure be performed by many health care professionals in clinical practice in multiple locations and that FDA approval, as appropriate, has already been received.

    This should help,

    Kim, CPC

  3. #3
    Location
    Charm City - Baltimore
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    IDK if this helps or not, but I have paperwork on 29868 put out by AAOS and it states that 29868 cannot be billed with 29870, 29871, 29875, 29880, 29883or 29884 at the same session. I have not had one though.
    Crystal, CPC, CCS-P

  4. #4
    Location
    Long Island/New York
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    1,271
    Default
    Quote Originally Posted by CrysLednum View Post
    IDK if this helps or not, but I have paperwork on 29868 put out by AAOS and it states that 29868 cannot be billed with 29870, 29871, 29875, 29880, 29883or 29884 at the same session. I have not had one though.
    that article i have. it's just that the ins co is considering it experiemental. Thanks anyway.

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