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29862 Experimental

  1. #1
    Long Island/New York
    Default 29862 Experimental
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    Got a good one here. Empire/UHC denied CPT codes 27036, 29862 and 29863 and unlisted 29999 (posas lengthening). They paid us first, then took the $$$ back stating all 4 procedures were experimental. Has anyone had this issue before? Any good ideas how to defend this? I will use AAOS articles but I may need a little more info. Thanks.

  2. #2
    UHC hays a policy about procedures for Femoracetabular Impingement, that they will not pay for. I'm not sure about your other procedures, but I have had it happen when I bill 29862 and 29999. When you submit the Operative note, and if it mentions that above DX, they may resort to their policy.

    You may find some help here:

    Also go onto and do a search.

    We have patients sign waivers for this and explain that their insurance may do this.

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