Wiki 29807 & 23700 denied

[coders_rock!]

29806(LT)
29807(LT)
23700(LT)

These 3 codes were billed together. 29806 was paid and the others were denied.

According to CCI, 29807 & 23700 are bundled but a modifier is allowed. Is there anything I can do to have these two paid?

 

[nyyankees]

29806(LT)
29807(LT)
23700(LT)

These 3 codes were billed together. 29806 was paid and the others were denied.

According to CCI, 29807 & 23700 are bundled but a modifier is allowed. Is there anything I can do to have these two paid?

were the 29806 and 29807 performed at different parts of the labrum? (i.e 29806 at 12 o'clock and 29807 SLAP at 4 o'clock). Start there for your appeal.

 

[nyyankees]

29806(LT)
29807(LT)
23700(LT)

These 3 codes were billed together. 29806 was paid and the others were denied.

According to CCI, 29807 & 23700 are bundled but a modifier is allowed. Is there anything I can do to have these two paid?

you'll lose the manipulation 23700 with 29806.

 

[coders_rock!]

Can you help by pointing out whether you see 29806 & 29807 as separate?

I really appreciate your expertise.

 

[nyyankees]

A standard posterior portal was used with a blunt trocar into the joint. An organized inspection of the joint revealed a positive drive-through sign of the large inferior capsular pouch and a labral tear from approximately three to the six o'clock superior labrum was found to be intact. An anterior portal was placed in the superomedial aspect of the labrum and scarify the neck & then used a small shaver to scarify the neck of the glenoid in order to prepare a bed for the labrum & capsule to be shifted superiorly & laterally. We then placed two suture tack anchors with two #2 fiber wires through the eyelets at approximately five o'clock & four o'clock on the rim of the glenoid & then a suture relay fashion witha 90-degree suture lasso. Once we had fully mobilized the capsule,we shifted the capsule superiorly & reattached the labrum up onto the rim of the glenoid. This was secured donw with knots in several half hitches. A secure repair was obtained from inferior all the way to approximately three o'clock. There was no long a positive drive-through sign...

I really appreciate your expertise.

I don't see documentation of a SLAP tear (Type 2 or 4). I would go back and clarify that it was a SLAP tear that was repaired and was in a separate area of the capsular defect...start there.

 

[coders_rock!]

Thank you, I will evaluate it again.