Wiki CPT 29822 with 29825

[terribo]

Our provider performed Arthroscopic capsular release and a debridement of the rotator interval. He has submitted 29825 & 29822. There is an edit against 29822 with 29825. Is he able to bill both with a 59 on 29822?

The OP report states "through a anterior portal, the rotator interval was debrided. The anterior inferior capsule was released through the inferior 6 o'clock position at the glenoid. Through a posterior portal,a posterior inferior & inferior capsular release was performed using basket forceps.

Is there enough justification to support 29822 with 29825 in that statement? Please explain rationale.

Thank you.

 

[nyyankees]

Our provider performed Arthroscopic capsular release and a debridement of the rotator interval. He has submitted 29825 & 29822. There is an edit against 29822 with 29825. Is he able to bill both with a 59 on 29822?

The OP report states "through a anterior portal, the rotator interval was debrided. The anterior inferior capsule was released through the inferior 6 o'clock position at the glenoid. Through a posterior portal,a posterior inferior & inferior capsular release was performed using basket forceps.

Is there enough justification to support 29822 with 29825 in that statement? Please explain rationale.

Thank you.

Highly unlikely as the rotator interval are in the same area. I would not submit with a 59 mod based on that.

 

[terribo]

Thank you...that's what I was thinking too

 

[Jamie Dezenzo]

Yes just 29825 in this case