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Department of Labor and 29877

  1. #1
    Jacksonville Beach, FL
    Default Department of Labor and 29877
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    Does anyone have experience with billing Department of Labor? The problem I am having is I had a patent who had a medial meniscectomy, loose body removal and chondroplasty of three compartments. When I obtained the authorization I got it for 29881 and 29877. The paid the 29881, but denied the 29877 as inclusive. I appealed it as I would have done with Medicare or any other insurance noting that the chondroplasty was done in different compartments than the other procedure and that there was more than 15 minutes spent on the procedure. This was all documented in the operative report. They denied my appeal. When I spoke with a rep he said that if CCI says there isn't a modifier allowed they wont cover it. I asked if there was a higher appeal process and he acted like I was crazy. Any ideas of what to do next, or am I going to have to eat this procedure?
    Thanks for any help!

  2. Default
    they follow medicare guidelines, so if chondroplasty performed in a diff. compartment, they want CPT G0289 instead.

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