Results 1 to 7 of 7

Fai

  1. #1
    Location
    Long Island/New York
    Posts
    1,271
    Default Fai
    Exam Training Packages
    I have an issue here. One of our Dr's does arthrocopic FAI's and pretty much does a synovectomy (29863) and labral debridement (29862). We got paid on the 29863 + 29862 and when we appealed the unlisted 29999 (FAI) they finally paid it.

    BUT...now they want the $$$ back from the 29862 AND29863!!! Has anyone had this problem before? And what did you do to fight it? Empire is the ins.

    Any thoughts/suggestions is always appreciated!

  2. #2
    Default
    I do have a Dr who does these procedures also. I have not billed the 29863 in addition to the 29862 and 29999 which we use for Arthroscopic Labral repair, Acetabuloplasty and Femoral Osteochondroplasty ( depending on which procedure the surgeon does). I always have to appeal the 29999 and send in the Op notes, sometimes the insurance pays and sometimes they do not. We have had a lot of success recently with our appeals of this.

  3. #3
    Location
    Traverse City Michigan
    Posts
    39
    Default
    Just out of curiousity, what are you charging for these procedures? One of our physicians is doing these same 3 procedures, sometimes all together, and we are having a difficulty setting a legitimate price!

  4. #4
    Default
    Sorry it took me so long to get back to you:

    We base the Acetabular Labral Repair on the 29806

    The Acetabuloplasty on the 29826

    And the Femoral Osteochondroplasty on 27179

    That is how I set my fees for these procedures is compare them to a similar procedure which my surgeon helped me do.

  5. #5
    Location
    Traverse City Michigan
    Posts
    39
    Default
    Thanks, that does help!
    Chrissy Durga, COSC

  6. Default Arthroscopy hip with labrectomy
    Hip arthroscopies are new to us. The first time the docs did a hip scope they used in their op description, excision of labrum and now they are using labrectomy. Is it still 29862?

    Can you bill 29862 with 29863?

    You guys are great!!!

  7. #7
    Default
    I would say it all depends on what his OP reports describes. I checked the edits and 29862 and 29863 are not bundled.

Similar Threads

  1. Unlisted procedure guidance--FAI Syndrome
    By AHVC in forum Orthopaedics
    Replies: 0
    Last Post: 07-09-2012, 10:23 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.