Remplissage procedure cpt. This will come down to payer policy.
Remplissage procedure cpt A modifier 22 may be added to other codes that are used if felt to be appropriate and supported by the surgical documentation. Aug 27, 2024 · With 3 exceptions, shoulder arthroscopy procedures include extensive debridement (e. Mar 1, 2018 · An accurate understanding of coding rules increases likelihood of receiving appropriate payment Correctly reporting and billing for arthroscopy services is often confusing. 64 (or 29. Last month, AAOS Now reviewed the knee arthroscopy codes and outlined the appropriate use of modifiers. This will come down to payer policy. Remember, the unlisted code is reported on the claim form; it is important to notate Enter date of surgery (DOS) or date of injury (DOI) to calculate the number of days, weeks, months or years post op. Mar 17, 2009 · procedure is arthroscopic Bankart repair iwth Remplissage procedure. Shoulder Instability With Remplissage 2025 Coding and Reimbursement Guidelines To help answer common coding and reimbursement questions about arthroscopic, endoscopic, or surgical procedures completed with the products described in this guide, the following information is shared for educational and strategic planning purposes only. Pediatric Sports Medicine is a relatively new subspecialty within Pediatric Orthopaedics, with continually evolving surgical techniques. The AAOS recommends comparing this procedure to CPT codes 29827 and 29806. Thanks for any Jul 11, 2019 · Question: What CPT codes do I use for comparison when the surgeon performs a superior capsular reconstruction? I know I have to use an unlisted code. 31 total RVU, based on Oct 7, 2015 · Per Coding Clinic 4th Q, 2016 page 10, question 2 from the "Ask the Editor" section (In summary) When a patient reports for an arthroscopic anterior capsulolabral repair with arthroscopic remplissage and rotator cuff repair- report code 29806, and 29999 (for the remplissage). Mar 27, 2018 · ANSWER Report CPT code 29806, Arthroscopy, shoulder, surgical; capsulorrhaphy, for the arthroscopic capsulolabral repair, and CPT code 29999, Unlisted procedure, arthroscopy, for the arthroscopic Remplissage procedure performed to stabilize the shoulder with an incidental rotator cuff repair. Mar 27, 2010 · CPT does not have a code for arthroscopic posterior remplissage, so report 29999 (Unlisted procedure, arthroscopy). This code is utilized when a specific CPT code does not exist for the arthroscopic procedure performed on the musculoskeletal system. CPT® code for arthroscopic remplissage I have a doctor that coded this surgery as an arthroscopic Bankart repair with remplissage. May 3, 2022 · The remplissage is considered inclusive to the Bankhart, according to the AAOS; however, American Hospital Association’s (AHA) Coding Clinic for HCPCS (third quarter, 2016) advises reporting both the capsulorrhaphy (29806) and an unlisted arthroscopy code (29999) for the remplissage procedure. When the provider performs the Remplissage procedure to stabilize shoulder surgery (29806) is mod 22 appropriate or should this be billed with an unlisted code to capture the Remplissage procedure? Question: If a provider goes over MUE’s for a code, is it then appropriate to put 1 unit of the main code on the claim with a 22 modifier? CPT 29999 refers to an unlisted procedure in arthroscopy, which is a minimally invasive surgical technique used to visualize, diagnose, and treat conditions within the joints. I coded the Bankart as 29806 and the remplissage as 29999 as both the doctor and I felt that there was no code for this and was the equivalent of 29827 in work. Do I code the Remplissage as unlisted? thank you, Gerri Duerheimer, CPC Aug 25, 2011 · Hello all, I have 29806 (Bankart) and then unlisted remplissage for Hill-Sachs lesion. The best option is to code for other procedures that are done concomitantly and documented in the surgical report. g. My question is has anyone billed both and got reimbursed and what to use as compare to code? I'm looking at 23465 but I have a feeling it would be considered inclusive w/ the 29806. Remplissage has been shown to reduce the recurrence rate compared to those undergoing arthroscopic Bankart repair alone and to have a comparable recurrence rate to the Latarjet procedure in the appropriately selected patient while also having a much lower complication rate than the Latarjet procedure. For reimbursement purposes, compare the procedure to 23465 (Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block), which has a national average Medicare reimbursement of $1,057. Remplissage Considerations Remplissage (French for “fill in”) is an arthroscopic procedure that insets the posterior shoulder capsule and infraspinatus tendon into the Hill-Sachs defect, converting the intra-articular location of the defect to an extra-articular one There is no code for a Remplissage procedure. This month, the topic is coding for shoulder and hip arthroscopic procedures. . The use of this code indicates that the provider has conducted a unique or specialized Jan 3, 2011 · I sent a claim to Medicare for a surgery where patient had an arthroscopic bankart repair (29806) for anterior instability and an arthroscopic remplissage procedure (29999) for a Hill Sach's defect. I sent a letter with the claim explaining why we used code 29999 and compared the remplissage Jul 1, 2017 · The remplissage is considered inclusive to the Bankhart, according to the AAOS; however, American Hospital Association’s (AHA) Coding Clinic for HCPCS (third quarter, 2016) advises reporting both the capsulorrhaphy (29806) and an unlisted arthroscopy code (29999) for the remplissage procedure. Answer: Great job in knowing that this procedure is reported with an unlisted code. They then called the rotator cuff repair "incidental" to the other procedures. 2 days ago · Arthroscopic remplissage procedure A patient was seen at our facility for an arthroscopic anterior capsulolabral repair and an arthroscopic remplissage and rotator cuff repair. As a result, many of the procedures performed may not have well-established corresponding CPT codes, leading to considerable variability in how different surgeons code for the same procedure. , CPT code 29823) even if the extensive debridement is performed in a different area of the same shoulder than the other procedure. We were instructed that the arthroscopic remplissage procedure was equivalent to an arthroscopic rotator cuff repair and should be assigned CPT code 29827. jztig rbeoru cinxif zykot lovqjlv lkmu dpfg kwxj dswk vqmxg akgvhv wxwvydj ujw dtrbuqbv gvxzkb