terribo
Networker
I have a situation where code 29826 for the subacromial decompression was done on the left shoulder as well as code 25111 for excision of a ganglion cyst of the wrist-totally unrelated procedures.
In the decription of code 29826, I realize that code 29826 has to be billed as 29826 with codes 29806-29825, & 29827-29828 and that if code 29826 is done in conjunction with codes 23130 or 23415, that we cannot bill code 29826 separately, the procedures must be billed only as 23130 or 23415. I also realize that if code 29826 is done by itself, without any other procedures performed, that we use code 29999. I get all that.
What I am kind of torn about is code 29826 for SAD of shoulder being billed with code 25111 for the wrist.
I am thinking that since technically 29826 is not being billed w/any other arthroscopic procedure as mentioned above and that the open procedure 25111 performed is unrelated to the shoulder, that the arthroscopic procedure 29826 should be billed unlisted as 29999 and that code 25111 should be billed as the primary procedure. Modifier 51 on code 29999?
Any thoughts?
In the decription of code 29826, I realize that code 29826 has to be billed as 29826 with codes 29806-29825, & 29827-29828 and that if code 29826 is done in conjunction with codes 23130 or 23415, that we cannot bill code 29826 separately, the procedures must be billed only as 23130 or 23415. I also realize that if code 29826 is done by itself, without any other procedures performed, that we use code 29999. I get all that.
What I am kind of torn about is code 29826 for SAD of shoulder being billed with code 25111 for the wrist.
I am thinking that since technically 29826 is not being billed w/any other arthroscopic procedure as mentioned above and that the open procedure 25111 performed is unrelated to the shoulder, that the arthroscopic procedure 29826 should be billed unlisted as 29999 and that code 25111 should be billed as the primary procedure. Modifier 51 on code 29999?
Any thoughts?