TPeniston61
Networker
The provider did a rotator cuff repair with diagnoses of partial rtc tear and adhesive capsulitis. He also did capsular reconstruction with a Regeneten patch graft. Code 29827 includes the graft, but doesn't seem to reflect the added complexity. Does anyone know how to get reimbursement for this procedure. Can I code 29827 + 29806-59. If I add a -22 modified, what kind of documentation is required? Is there a HCPCS code for the graft? Can I use 15777 for the implantation of the biological matrix or is this only for the trunk (not including the shoulder). If I use 17999, it won't get reimbursed. I'm really stumped on this one. Can anyone help?