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Hip arthrogram dictation-HELP!!

  1. #1
    Olympia, WA
    Unhappy Hip arthrogram dictation-HELP!!
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    I am in the middle of a debate between one of our physicians and a payer (med advantage plan).
    The physician coded a 27095 (Injection procedure for hip arthrography; with anesthesia)with a 77002 (Fluoroscopic guidance for needle placement). The insurance company is saying that it needs to be down coded as a 20610 w/fluoro because the doctor did not document the interpretation of the arthrogram. I have searched and searched for documentation guidelines everywhere I can think of and have come up with nothing (the payer says they follow CMS guidelines).
    Can anyone tell me where they are hiding them (the guidelines)so that I can take it to the physician and have him do an addendum?
    Any help would be greatly appreciated

    DMalone, CPC

  2. Default Hip arthrogram dictation-HELP!!
    Did you ever find the information you needed in this case? I'm running across the same scenario now.

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