Can CPT 29822 and 29826 be billed together?

CPT 29826 can only be billed along with one (or more) of the following CPT codes: 29806, 29807, 29819, 29820, 29821, 29822, 29823, 29824, 29825, 29827 and 29828.

Can 29826 and 23412 be billed together?

Rules: The American Academy/Association of Orthopaedic Surgeons (AAOS) states: “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.

Can CPT 29806 and 29827 be billed together?

Parenthetical instruction in CPT also states that code 29826 is to be used in conjunction with codes 29806-29825, 29827, and 29828. There are no existing National Correct Coding Initiative (NCCI) edits in place for these code pairs which would preclude one from reporting these codes together.

What is shoulder arthroscopic subacromial decompression?

About the subacromial decompression This is an arthroscopic (keyhole) procedure designed to release the tight ligament of the coracoacromial arch and to shave away some of the under surface of the acromion. This raises the roof of the shoulder, allowing more room for the rotator cuff tendons to move underneath.

Can you bill 29826 alone?

The AAOS Global Service Data Guide for Orthopaedic Surgery (GSD) states specifically that codes 29824, 29826, and 29827 are separately reportable.

Can CPT code 29819 be billed with 29827?

Extra-articular structures include the rotator cuff (RC), the distal clavicle, and the subacromial space. When that occurs, coding 29827 (arthroscopic rotator cuff repair) with 29819-59 is permissible.

Can 29806 and 29827 be billed together?

Does 29826 include Bursectomy?

Code 29826 is correct. Bursectomy is included.

Can 29806 and 29807 be billed together?

AAOS Global Service Data book AAOS Global states, “You can report 29806 with 29807 ONLY if the SLAP lesion repair is Type 2 or Type 4.” This indicates that, for the other five types of SLAP lesions, it may not be appropriate to report 29807 along with 29806.

Can a code 29822 be combined with code 29826?

If a subacromial decompression is performed (decompression with acromioplasty or CA ligament release) I would bill 29822 with 29826. Due to the updated surgical policy manual this year code 29823 may only be billed with 29824, 29827 & 29828. So combining 29823 with a code set that does not include one of these codes could be problematic.

Is the NCCI code 29823 still in use?

The CMS NCCI edit was removed on 29823 over a year ago. The surgical policy manual was updated this year specifically stating that 29823 can be billed with these codes, however insurance companies are still denying code 29823 due to the outdated rules.

What do CPT codes 23410 and 23412 mean?

CPT codes 23410 and 23412 describe musculotendinous cuff (eg, rotator cuff) repairs involving 1 or 2 tendons or major muscles of the rotator cuff. Code 23412 describes repair of a chronic rupture.

What is CPT code for subtalar joint removal?

CPT Code Defined Ctgy Description 29904 Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body 29905 Arthroscopy, subtalar joint, surgical; with synovectomy 29906 Arthroscopy, subtalar joint, surgical; with debridement 29907 Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis.