Wiki Tenex Procedure for lateral epicondylitis

Create Wiki Sort by votes
L

linton@bresnan.net

Contributor
Messages
10
Location
Powell, WY
Best answers
0
Discussion and research is ongoing regarding a tenex procedure on elbows within our coding/orthopedic group. What we have found is some say to use the unlisted code of 24999 and some say 24357. Below is a copy of the provider's op note and I am prone to use code 24357 as to me it explains the procedure better than using an unlisted code. Patient's insurance company is denying stating this procedure is experimental. Anyone have thoughts or wisdom to pass on, please?
Thank you,
Cindy

1695049276403.png


1695048878555.png
 
0
It's not percutaneous needle tenotomy, it's ultrasonic ablation so it's not 24357.
Many or most payers are not going to cover it no matter which code you tried to use. It's experimental to most.
Examples: https://www.anthem.com/dam/medpolicies/abcbs/active/policies/mp_pw_c196772.html


I believe there are AHA coding clinics and/or CPT Assistant articles (I don't have access right now) but you would want to look those up for confirmation.
 
You must log in or register to reply here.
Top