Can CPT code 29823 be billed alone?
For CMS or those who follow CMS guidelines, yes you can bill 29823. Private insurance may or may not follow this guideline. 29822 is only billable if it is the only code being billed.
Can CPT 29806 and 29807 be billed together?
AAOS Global Service Data book AAOS Global states, “You can report 29806 with 29807 ONLY if the SLAP lesion repair is Type 2 or Type 4.” This indicates that, for the other five types of SLAP lesions, it may not be appropriate to report 29807 along with 29806.
Can CPT code 29827 and 29807 be billed together?
It’s hard to bill a 29827, 29826 and 29807 all at the same time. The 29807 and 29822 are definitely bundled as you are doing work on the labrum for both and you can’t expect to get paid twice for the same area.
What is the difference between 29822 and 29823?
Code 29822 covers limited debridement of soft or hard tissue and should be used for limited labral debridement, cuff debridement or the removal of degenerative cartilage and osteophytes. Code 29823 should be used only for extensive debridement of soft or hard tissue.
Can CPT code 29827 and 29823 be billed together?
CPT codes 29824 (arthroscopic claviculectomy including distal articular surface), 29827 (arthroscopic rotator cuff repair), and 29828 (biceps tenodesis) may be reported separately with CPT code 29823 if the extensive debridement is performed in a different area of the same shoulder.”
Can CPT codes 29826 and 29823 be billed together?
CPT 29826 can only be billed along with one (or more) of the following CPT codes: 29806, 29807, 29819, 29820, 29821, 29822, 29823, 29824, 29825, 29827 and 29828.
What is the difference between 29806 and 29807?
If the repair is a SLAP, you’d code work done on the upper half of the labrum as 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion). If the repair was in the lower half of the labrum, you’d use instead code 29806 (Arthroscopy, shoulder, surgical; capsulorraphy).
Can 29822 and 29806 be billed together?
CCI bundles 29822 in with 29806, so if the insurance you’re billing uses CCI as their edit program then I wouldn’t bill 29822.
Can 29824 and 29823 be billed together?
Yes as long as the debridment is unrelated to AC joint/area.