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Thread: unlisted codes

  1. #1

    Default unlisted codes

    AAPC: Back to School
    I'm hoping that someone can point me in the right direction, I'm looking for medicare regulations on unlisted procedure codes??? Thanks for the help!!

  2. #2


    What type of info do you need? Does this pertain to a particular type of procedure?

  3. #3
    Join Date
    Apr 2007
    lauderdale lakes


    i also am trying to get paid for unlisted codes by medicare for PEG's. You need to submit documentation and show RVU's and what the closest procedure is.

  4. #4

    Default Medicare & Unlisted procedure codes

    I'm also new to coding and have a question regarding unlisted procedure codes. The post above refers to submitting the RVU's. Is there a way to calculate the RVU's for an unlisted procedure? Or are you referring to submitting RVU's for a similar procedure?

  5. #5


    Anyone able to assist with my previous inquiry? An example I have today is a Arthroscopic Bicipital Tenotomy. Research I've done indicates to bill with 29999.

  6. #6


    Any takers on my above request?

  7. #7


    Unlisted procedures are not assigned RVU's for purposes of payment. Some payers recommend that physicians identify the closest or most similiar code to that which they performed. Submit a detailed OP note with a diagnosis and specific narrative of the actual procedure performed and request a specific payment amount for the procedure. Remember, payment is based on the medical review of the procedural documentation submitted. Hopes this helps!


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