Wiki Arthroscopy 29824 & 29824

vramirez

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Aetna is denying a claim for codes 29824 & 29826. After reviewing the documentation, it seems we have adequately documented both procedures. The Aetna denial states we must document removal of min. 8-10mm of bone. Of course, our documentation states removal of bone according to CPT requirements.

Has anyone else experienced this? If so, is there an appeal letter or other suggestions you can share with me?
 
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