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29826

  1. #1
    Location
    Salt Lake City
    Posts
    38
    Default 29826
    Medical Coding Books
    Okay. Since 29826 is no longer a stand alone code, what do we use for arthroscopy with SA decompression/release?

    Help!
    Shrina

  2. Default
    You can use the unlisted code w/ the $$ amount on 29826.

  3. #3
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by campy1961 View Post
    You can use the unlisted code w/ the $$ amount on 29826.
    Use 29826 value of 2011 not 2012 as the RVU's were reduced..

  4. #4
    Default
    I also heard that if the MD documents properly you should be able to use the debridement codes and the SAD code with it.
    Tina Wosmek CPC, COSC

  5. #5
    Location
    Sacramento
    Posts
    20
    Default 29826
    Major changes occurred in the arthroscopy section of the 2012 CPT Manual, reflecting Medicare's 75 percent threshold of services being reported together.
    With regard to shoulder arthroscopy, CPT code 29826—“arthroscopic subacromial decompression”—is now an add-on code to CPT codes 29806–29825, 29827, and 29828. Modifier 51 should not be used and 100 percent reimbursement should be expected.
    CPT code 29826 should not be reported with any procedure other than those identified as appropriate parent codes. It is not an add-on code to CPT code 23410 or 23412, and an unlisted code may not be reported to reflect this work. Instead, append modifier 22 or report 29822 or 29823 (limited or extensive débridement) as appropriate.
    This article came from the AAOS via Mary LeGrand
    Debbie Kline, CPC, CMA
    Business Office Administrator
    North Valley Orthopedics
    Yuba City, CA

  6. Default
    from my understanding, unlisted if only procedure

    http://www.beckersasc.com/asc-coding...-surgeons.html

  7. #7
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by twosmek View Post
    I also heard that if the MD documents properly you should be able to use the debridement codes and the SAD code with it.
    yes..but check if Medicare will allow. I believe there was an issue with this scenario.
    Last edited by nyyankees; 01-19-2012 at 03:51 PM.

  8. #8
    Smile
    Quote Originally Posted by FREEPONY View Post
    Major changes occurred in the arthroscopy section of the 2012 CPT Manual, reflecting Medicare's 75 percent threshold of services being reported together.
    With regard to shoulder arthroscopy, CPT code 29826—“arthroscopic subacromial decompression”—is now an add-on code to CPT codes 29806–29825, 29827, and 29828. Modifier 51 should not be used and 100 percent reimbursement should be expected.
    CPT code 29826 should not be reported with any procedure other than those identified as appropriate parent codes. It is not an add-on code to CPT code 23410 or 23412, and an unlisted code may not be reported to reflect this work. Instead, append modifier 22 or report 29822 or 29823 (limited or extensive débridement) as appropriate.
    This article came from the AAOS via Mary LeGrand
    Hello,

    Can you possibly give a link to where this article is located? It would be very helpful

    Thanks,
    AB

  9. #9
    Default
    go to the AAOS website and I do believe you can access it through AAOS Now. You do not need a membership to view them.
    http://www.aaos.org/news/aaosnow/jan12/managing4.asp
    Tina Wosmek CPC, COSC

  10. #10
    Location
    Sacramento
    Posts
    20
    Default
    Debbie Kline, CPC, CMA
    Business Office Administrator
    North Valley Orthopedics
    Yuba City, CA

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