Wiki Capsular plication shoulder

[Orthosports]

Hi guys!!

Suddenly after 15 years the doctors are performing capsular plications for shoulder instability. I read where the code 29806 should be used. Some suggested a not otherwised classfied code also 29999. Now one of my doctors says he is doing an anterior AND posterior plication. He said there should be two procedure codes - not really sure you can bill 29806 twice.

Does anyone have any suggestions?

Thank you.

Denise

 

[PLAIDMAN]

Hi guys!!

Suddenly after 15 years the doctors are performing capsular plications for shoulder instability. I read where the code 29806 should be used. Some suggested a not otherwised classfied code also 29999. Now one of my doctors says he is doing an anterior AND posterior plication. He said there should be two procedure codes - not really sure you can bill 29806 twice.

Does anyone have any suggestions?

Thank you.

Denise

I agree with you. I believe there is an aaos article stating to use 29806. You can only bill once per shoulder....there is only ONE capsule per shoulder, this is per ncci edits.