Results 1 to 10 of 10

29822-59 separately??

  1. Default 29822-59 separately??
    Medical Coding Books
    im billing the following as 29828, 29826 & 29824 but not too sure if I should be billing separately for RC debridement? 29822-59?



    a posterior portal was used it was found that the biceps was flattened and tendonosis and the undersurface of the rotator cuff had a tear and was slightly elevated off its footprint anteriorly. This was marked with an 18 gauge spinal needle and a suture and the biceps tendon using an 18 gauge spinal needle pulling through an anterior portal through the biceps tendon placing a bird beak near the attachment of the biceps grabbing the #1 prolene suture and pulling it percutaneously. once this was accomplished, the biceps tendon was covered with scissor and the undersurface of the rotator cuff was debrided with the shaver. the arthroscope was reintrodueced in the subacromial space, which had thickened bursa through a direct lateral portion first identifying an 18 guage spinal needle. a 6mm cannular was inserted. this two limbs of the sutures were grabbed, a knot pusher was pushed down each libms make sure they were not tangled. a duncan loop two half hitches, reverse half hitch and a reverse post were tied and then cut. a bursectomy was performed with a shaver. the undersurface of the acromion was debrided with bipolar radiofrequency wand. acromiocoracoid ligament was resected and the medial portion of the acromion was debrided with an acromionizer bur as well as a distal clavicle. this was completed with an unsheath bur until 8mm of the distal clavicle was removed and clearly visualized. the arthroscope was then place in the lateral portal with the sheath is in the posterior portal and the under surface of the acromion was debrided with completed. the bursa was debrided of the rotator cuff. rotator cuff was probed there was no evidence of a tear. therefore, repair was not necessitated.

  2. #2
    Location
    Long Island/New York
    Posts
    1,271
    Default
    sounds good to me. the RC is a separate issue from the biceps repair, AC joint excision and decompression.

  3. Default
    that's what I thought but it when it comes to billing 29822 separately I always like others' opinions.

    Thanks

  4. Default
    29822 is considered as intergral part of codes 29826 and 29828 according to the orthopaedic coding companion nad cci edit..that is my take on it!

  5. #5
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by DOVERRED View Post
    29822 is considered as intergral part of codes 29826 and 29828 according to the orthopaedic coding companion nad cci edit..that is my take on it!
    The 59 modifer and dx of RC tear (727.61) would overide the edits. There's a great article on the Orthopedic/Pink Sheets website on this type of scenario.

  6. Default
    I always thought as long as the debridement was done on a separate structure than it can be billed according to AAOS. & as far as the dx I was actually thinking dx: 840.4 because I code for an ASC & don't really know if it's nontraumautic vs traumatic / acute vs chronic

  7. #7
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by BFAITHFUL View Post
    I always thought as long as the debridement was done on a separate structure than it can be billed according to AAOS. & as far as the dx I was actually thinking dx: 840.4 because I code for an ASC & don't really know if it's nontraumautic vs traumatic / acute vs chronic
    840.4 is fine with your scenario. If you give me your email address I can email the article.

  8. Default
    oh,... that would be great! email address is bethsaidarramos@gmail.com

    Thank you!

  9. Default tendonosis
    I have an MRI report that lists "tendonosis" of the shoulder, as well as a "full thickness tear of the supraspinous tendon. I can't find a code for tendonosis anywhere, and when I search, it states that tendonitis and tendonosis are not the same. Can anyone help please?? Thanks!
    dcoker@moreoflife.com

  10. Default
    Take a look at 726.10 and see if it might apply for the tendinosis. A full thickness tear of supraspinatus would be 840.6 for traumatic and if chronic take a look at 727.61 as a possibility.

Similar Threads

  1. Replies: 0
    Last Post: 11-05-2015, 07:04 AM
  2. 29827 and 29822
    By irvinme in forum Orthopaedics
    Replies: 3
    Last Post: 05-13-2014, 04:21 PM
  3. 29822 vs 29823
    By kc-george in forum Orthopaedics
    Replies: 2
    Last Post: 11-07-2012, 07:18 AM
  4. Again 29822 vs 29823
    By Desperate Denise in forum Orthopaedics
    Replies: 1
    Last Post: 01-14-2010, 09:15 AM
  5. 29822 help
    By kdahlen in forum Orthopaedics
    Replies: 1
    Last Post: 10-02-2008, 01:47 PM

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.