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Biceps tendon tenotomy

  1. Exclamation Biceps tendon tenotomy
    Medical Coding Books
    I am new to orthopedic coding, still learning. Can anyone help..... Surgeon performed rotator cuff repair (29826), distal clavicle resection (29824), subacromail decompression (29826), debriment of labral tear (29822) and bicep tendon tenotomy (??????). How do i could tenotomy? Medicare patient.

    Thanks,


    brenda@starortho.com
    Last edited by resmedicalbilling@gmail.com; 04-28-2010 at 06:56 PM.

  2. #2
    Location
    Columbus, Ohio
    Posts
    105
    Default Tenotomy
    Brenda, this procedure done by scope is an unlisted 29999 and compare to the open procedure 23405. Hope this helps, Paula

  3. Default
    Thanks for your help!!!

    Brenda

  4. Default
    Quote Originally Posted by agrading@aol.com View Post
    I am new to orthopedic coding, still learning. Can anyone help..... Surgeon performed rotator cuff repair (29826), distal clavicle resection (29824), subacromail decompression (29826), debriment of labral tear (29822) and bicep tendon tenotomy (??????). How do i could tenotomy? Medicare patient.

    Thanks,


    brenda@starortho.com
    Brenda, I agree with Paula...29999 is correct...but just so you know, Medicare will not reimburse for those bicep tendon tenotomies. The amount of work that it takes, just a snip, is considered incidental to the bigger procedures, per Medicare. So I bill them out, but when Medicare denies the tenotomy I write it off. I used to Appeal them, but to no avail, and I've heard from alot of other Ortho coders that they run into the same problem with this & Medicare.
    Jenna

  5. Default
    Thank you Jenna. This information helps me a great deal.

    Brenda

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