pchamp25
Networker
Hi All!
I'm still new to orthopedic coding and I am looking for help regarding CPT 29823. I bill for an ASC facility and after reviewing and provider's note, felt 29823 was supported in the documentation but we have are fighting with the insurance company re: the patient's claim so asked how the professional claim was billed & they felt 29823 was not supported. Here is part of the OP note;
![1715712150907.png 1715712150907.png](https://www.aapc.com/discuss/data/attachments/7/7106-7bef5245e58f014fd926c52ba974ac4c.jpg)
I see 3 distinct structures superior labrum, supraspinatus, and subacrominal space which would support 29823 but am I reading too much into the note? Thoughts on whether documentation supports 29823 or not.
TIA
I'm still new to orthopedic coding and I am looking for help regarding CPT 29823. I bill for an ASC facility and after reviewing and provider's note, felt 29823 was supported in the documentation but we have are fighting with the insurance company re: the patient's claim so asked how the professional claim was billed & they felt 29823 was not supported. Here is part of the OP note;
![1715712150907.png 1715712150907.png](https://www.aapc.com/discuss/data/attachments/7/7106-7bef5245e58f014fd926c52ba974ac4c.jpg)
I see 3 distinct structures superior labrum, supraspinatus, and subacrominal space which would support 29823 but am I reading too much into the note? Thoughts on whether documentation supports 29823 or not.
TIA