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29826 for 2012

  1. Question 29826 for 2012
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    Hi, since 29826 will be an add-on code for 2012 what do you do if 29826 is the only procedure performed? I have read on a couple of web sites that we will have to bill the unlisted 29999 but just wanted to verify if this is correct. Thanks

  2. #2
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    Quote Originally Posted by northelam View Post
    Hi, since 29826 will be an add-on code for 2012 what do you do if 29826 is the only procedure performed? I have read on a couple of web sites that we will have to bill the unlisted 29999 but just wanted to verify if this is correct. Thanks
    Yes 29999 Unlisted is correct. You are to compare to 29826 2011 RVU value when submitting. The 2012 add-on RVU is low..

  3. #3
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    According to the AMA more than 95% of the time the 29826 procedure is performed in conjunction with one of the other procedures listed: 29806-29805, 29827, 29828
    look your note over carefully to be certain one of these procedures is not included before you use the 29999.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
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    Quote Originally Posted by mitchellde View Post
    According to the AMA more than 95% of the time the 29826 procedure is performed in conjunction with one of the other procedures listed: 29806-29805, 29827, 29828
    look your note over carefully to be certain one of these procedures is not included before you use the 29999.
    yes that's true but this for an acromioplasty performed alone...

  5. Default 29826 changes
    I have a doctor that routinely starts a RC repair with a scope of the shoulder to look and see if it could be repair arthroscopically (he usually states he did the SAD), but then opens the case and does an open repair of the RC (23412). In the past I would code with both CPTs 23412, 29826-59. In 2012 that coding will not be possible. Any suggestions for coding in the future?
    thanks,

    mary whitmore, CPC, CASCC

  6. Default
    Normally with 29826 they will do 23430, so I would read over the documentation before coding just 29826 (29999).

  7. Default
    I have a case
    29806
    29824
    29826

    now 29826 is an add-on for both but still -59 for CPT 29806???

    Thanks!

  8. Default
    Look in your CPT under 29826, it states which codes you can use with 29826.

    Hope this helps!

  9. #9
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    Quote Originally Posted by embeeuu View Post
    I have a doctor that routinely starts a RC repair with a scope of the shoulder to look and see if it could be repair arthroscopically (he usually states he did the SAD), but then opens the case and does an open repair of the RC (23412). In the past I would code with both CPTs 23412, 29826-59. In 2012 that coding will not be possible. Any suggestions for coding in the future?
    thanks,

    mary whitmore, CPC, CASCC
    I am looking for the answer to this as well. My docs do the same thing.
    Tina Wosmek CPC, COSC

  10. Default
    Jamie, yes you are correct.

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