Results 1 to 7 of 7

Chondroplasty

  1. #1
    Default Chondroplasty
    Exam Training Packages
    Has anyone had any luck with Medicare paying for 29877 w/29881? I've also used G0289..they are denying both codes as incidental... please help!

    Thanks
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

  2. #2
    Location
    Columbia, MO
    Posts
    12,560
    Default
    29877 is and has been bundled with the 29881 and is not modifiable. The G0289 is appropriate but it needs the right dx code to be linked to it or it will not pay. This all changes in 2012

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    I get a CO-97 and a N390 with the G0289:

    CO97 The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

    N390 This service/report cannot be billed separately.

    with the 29877 I get:
    CO-B15 CO- Contractual obligations. The patient may not be billed for this amount
    B15 This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

    and

    M80 Not covered when performed during the same session/date as a previously processed service for the patient.
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

  4. #4
    Location
    Columbia, MO
    Posts
    12,560
    Default
    the 29877 is a CCI edit and cannot be billed with the 29881 with any modifier. As I stated the G0289 is dependent on the dx code and how you linked them.. what dx code(s) did you link to the 29881 and which were linked to the G0289.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default
    836.0 on the 29881
    717.7 on the G0289/29877
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

  6. #6
    Location
    Columbia, MO
    Posts
    12,560
    Default
    Then it looks a good appeal should be on its way for the use of G0289!

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
    Default
    Sounds good to me...thank you Debra
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

Similar Threads

  1. Chondroplasty
    By KristieStokesCPC in forum Orthopaedics
    Replies: 3
    Last Post: 12-05-2011, 12:30 AM
  2. chondroplasty
    By mstoop1 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-30-2008, 04:22 PM
  3. chondroplasty
    By mstoop1 in forum Orthopaedics
    Replies: 2
    Last Post: 12-30-2008, 01:54 AM
  4. chondroplasty-biller is coding
    By nelsonkaren48 in forum Orthopaedics
    Replies: 1
    Last Post: 08-22-2008, 04:01 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.