Billing procedure code 29826

Can I bill procedure code 29826 by it self or is this considerd an add on CPT® code.
thanks in advance for your answer.

re: BILLING PROCEDURE CODE 29826

It is an add-on code, cannot bill alone

re: BILLING PROCEDURE CODE 29826

CPT® 29826 (Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release) has been deemed an add on code for 2012 and may be billed with the below listed CPT® codes as the primary CPT® code meaning they simple need to be listed first.

Because this code has been deemed an add on, it may no longer be billed as a standalone code. In the event an ASAD is performed as an isolated procedure, it will need to be reported as an unlisted CPT® code 29999 (unlisted procedure arthroscopy).

CPT® 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy
CPT® 29807 - Arthroscopy, shoulder, surgical; repair of SLAP lesion
CPT® 29819 - Arthroscopy, shoulder, surgical; with removal of loose body or foreign body
CPT® 29820 - Arthroscopy, shoulder, surgical; synovectomy, partial
CPT® 29821 - Arthroscopy, shoulder, surgical; synovectomy, complete
CPT® 29822 - Arthroscopy, shoulder, surgical; debridement, limited
CPT® 29823 - Arthroscopy, shoulder, surgical; debridement, extensive
CPT® 29824 - Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)
CPT® 29825 - Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation.

Primary procedures include but are not limited to arthroscopic rotator cuff repairs, arthroscopic debridements (the debridement would be performed on an area separate/distinct and unrelated to the work performed for the decompression) or an arthroscopic claviculectomy. It is imperative that documentation detail all work performed in every area/region of the shoulder. Describe all tendons, muscles, tears (types), defects and anatomical areas in which work was performed and all techniques/methods (i.e. debridement, repair, excisions and/or releases).

re: BILLING PROCEDURE CODE 29826

re: BILLING PROCEDURE CODE 23410

HI Good Afternoon

I Have been trying to get an answer on this question since yesterday. If you can help me I would appreciate it.

Queation can I bill proc. code 23410 as primary and proc code 29826 as the second proc. with medaicare. ???

Thanks in advance.

re: BILLING PROCEDURE CODE 23410

CPT® 29826 (Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release) has been deemed an add on code for 2012 and may be billed with the below listed CPT® codes as the primary CPT® code meaning they simple need to be listed first. Because this code has been deemed an add on, it may no longer be billed as a standalone code. In the event an ASAD is performed as an isolated procedure, it will need to be reported as an unlisted CPT® code 29999 (unlisted procedure arthroscopy).

CPT® 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy
CPT® 29807 - Arthroscopy, shoulder, surgical; repair of SLAP lesion
CPT® 29819 - Arthroscopy, shoulder, surgical; with removal of loose body or foreign body
CPT® 29820 - Arthroscopy, shoulder, surgical; synovectomy, partial
CPT® 29821 - Arthroscopy, shoulder, surgical; synovectomy, complete
CPT® 29822 - Arthroscopy, shoulder, surgical; debridement, limited
CPT® 29823 - Arthroscopy, shoulder, surgical; debridement, extensive
CPT® 29824 - Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)
CPT® 29825 - Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation

Primary procedures include but are not limited to arthroscopic rotator cuff repairs, arthroscopic debridements (the debridement would be performed on an area separate/distinct and unrelated to the work performed for the decompression) or an arthroscopic claviculectomy. It is imperative that documentation details all work performed in every area/region of the shoulder. Describe all tendons, muscles, tears (types), defects and anatomical areas in which work was performed and all techniques/methods (i.e. debridement, repair, excisions and/or releases).

re: BILLING PROCEDURE CODE 23410

If 29826 is totally unrelated to work performed in 23410 operative site. So, it depends.

Re Dx Code for Osteoporosis

HI , Good morning

Would you please tell me what is the correct DX Code for Osteoporosis.

I am billing a Surgery for O A Knee DX code 715.16 and I would like to bill the DX Code for the Osteoporosis along with that .

Thanks in advance.

Re- dx code v85.45

Hi
Thanks for all your help.

My question is the DX Code V85.45 a deleted code ? Because when I tried to put that code in my system it keep saying that this code might be deleted or change, I looked in the ICD-9-CM FOR 2012 AND 2013 and the code is there. I am adding this code to DX Code 715.16, 733.00 and 278.00 Should that be a problem.

Billing Proc. Code. 26615

Good Morning,
Thanks for you answer. I do have another question regarding the same proc. code. 26615 the Dr did this procedure twice one on the 4th digit the other on the fifth digit . Now is the correct way to bill this to Caresource 26615 and 26615 modifer 59
Please help me.

Thanks in advance

re: Billing Proc. Code. 26615

Good morning, :)

I cannot tell from your question which hand the fingers were on, left or right. Please take a look at the HCPCS Level II modifier list in the Appendix A of CPT® book. There are separate modifiers for the fingers on each hand.

There is a great CPT® Assistant article (May 2003, pages 11-12) on the reporting of HCPCS Level II modifiers. This article explains the correct reporting methodology to be the CPT® code on two lines, each line containing an anatomical modifier. The article is discussing CPT® 26010, but the same concept should apply to CPT® 26615.

Hope this helps!
Cynthia

re: Billing Proc. Code. 26615

When billing the codes out don't forget to use the correct modifier identifying the digits being repaired so your codes should look like this

26615-F8 or F3 depending on what hand was done
26615-59-F9 or F4 also dependin on what hand

hope that helps:)