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Thread: 29824

  1. #1
    Join Date
    Apr 2007

    Default 29824

    AAPC: Back to School
    Hello everyone,
    Lately I have been receiving denials from Work Comp carriers stating that in order to bill for a distal claviculectomy(29824), 8.0 to 10mm has to be removed in order to bill with other codes such as 29827,29826. Medicare has no such restrictions. AAOS had a stipulation back in 2004 that it had to be 1cm, but apparently that has been removed. I can't seem to find anything in writing. Can someone help!


  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    work comp is not a HIPAA covered entity and therefore they do not have to adhear to a standard definition for a procedure. So you have to follow work comp rules when dealing with work comp.

    Debra A. Mitchell, MSPH, CPC-H

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