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Worker's comp code for slap lesion repair

  1. #1
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default Worker's comp code for slap lesion repair
    Medical Coding Books
    Hi All!

    Can anyone tell me what code worker's comp will accept for slap lesion repair?

    Thanks!
    Tina Reich, CPC, CPC-I, CEMC

  2. #2
    Default
    Are you looking for CPT or ICD-9. If arthroscopic I use 29807 with 840.7 and never get denied for the code. Sometimes your Doc will not request auth for these codes and that might be where you get your denial.

    Hope this helps

    Monica

  3. #3
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    Thanks Monica,

    However, that is the code that is being denied.

    Thanks
    Tina Reich, CPC, CPC-I, CEMC

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    What is the reason for the denial? 29807 would be appropriate.

  5. #5
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    It is not on their fee schedule. I ended up using their unlisted code with a reference to the appropriate code.

    thanks!
    Tina Reich, CPC, CPC-I, CEMC

  6. #6
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Work comp is usually a couple of years behind on CPT codes...but 29807 has been around for quite a while now. Submitting as you said is probably the only way to get reimbursement. I wish they would be forced to use current codes!

  7. #7
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    Thanks Everyone! Appreciate the help and feedback.
    Tina Reich, CPC, CPC-I, CEMC

  8. #8
    Default
    i know this is late on the response, but when you are billing workers comp and when the c9 is sent to workers comp whatever is being billed has to be on that form other wise they will deny the claim. you cant just bill whatever you want to them. they have to be allowed first.

  9. #9
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    California workers comp is still back in 1999, so unfortunately you have to use the 29999

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