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Billing 29822 and 29807 for the same surgery

  1. Default Billing 29822 and 29807 for the same surgery
    Medical Coding Books
    One of our surgeons performed arthroscopic surgery for a large rotator cuff tear per MRI result. Upon entering the shoulder, the patient was found to have extensive fraying at the origin of the superior labrum which was debrided. There were also degenerative changes in the labrum making it unstable and the labral bone bed was debrided and Fiber tape was placed and sutured. Next came the rotator cuff tear which was quite large requiring extensive repair and debridement. Our office coder billed 29827-RT, 29807-59, 29826-59, 29822-59. The 29822-59 was denied as "incidential to" 29807. I would appreciate your opinions.

  2. #2
    Nashville AAPC Chapter
    Not sure if all of the codes were appropriate. It's hard to bill a 29827, 29826 and 29807 all at the same time. The 29807 and 29822 are definitely bundled as you are doing work on the labrum for both and you can't expect to get paid twice for the same area.

    The 29807 might be better supported by definition, but hard to say with the limited information you have provided.

  3. Default
    You also need to check RVU's, documentation and description of the surgery.

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