Wiki Capsulorrhaphy

[PatriciaCPC]

My doc did anterior and posterior capsulorrhaphy w/ interval closure. Pt had a large Hill-Sachs lesion as well as an anterior impaction of the anterior inferior glenoid. The anterior aspect was fixed w/ 2 Bio-lnotless suture anchors, Ethabon and had Ethabon plication posteriorly.
He wants to bill 29806 2 times seperately as he states 'double the work for a usual capsulorrhaphy'.
Any ideas on this?
I thought this could only be billed once.

 

[mbort]

29806-22 (nice try though...lol)

 

[FTessaBartels]

Documentation

It would also be a good idea for the surgeon to dictate WHY this was such a difficult surgery, what aboiut it constituted "double the work" ... this will help with any appeal you might have to make to get the extra $ for the -22 modifier.

F Tessa Bartels, CPC, CPC-E/M

 

[PatriciaCPC]

Sometimes I think they toss things out there to see if I catch it... lol Thanks - just what I was thinking!!!! Hope everyone is well and looking forward to the holidays!!!