Can 29834 and 29838 be billed together?

Based on the Complete Global Service Data Manual, code 29838 is listed as a procedure that is not included when performing 29834 and 29834 is listed as a procedure that is not included when performing 29838 and the foreign bodies are loose and greater than 5 mm.

What is the difference between limited and extensive debridement?

Here is the difference between LIMITED and EXTENSIVE debridement: If the surgeon debrides 1 to 2 “discrete structures” in the shoulder, it’s limited (29822). If the surgeon debrides 3 or more, it would be coded as extensive (29823). Bone and soft tissues qualify as discrete structures.

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.

Does 29827 include debridement?

If extensive debridement (CPT 29823) is performed in a different area of the same shoulder with one of the following arthroscopic shoulder procedures, it may be reported separately: CPT 29827 – Arthroscopic rotator cuff repair. CPT 29828 – Biceps tenodesis.

What is extensive debridement of the shoulder?

Extensive Debridement Shoulder is a procedure used to remove debris and damaged tissue in the shoulder joint. This procedure is performed as minimally invasive as possible by using a very small camera called an arthroscope.

How do you code shoulder surgery?

Code 29806, Arthroscopy, shoulder, surgical; capsulorrhaphy covers both anterior and posterior capsulorrhaphy (29806, lower half and 29807, upper half). If a repair is done both anteriorly and posteriorly, it would be coded as 29806-22.

What is a complete synovectomy of the shoulder?

A synovectomy is a surgical procedure used to treat synovitis and some other conditions that affect the synovium, a thin membrane that lines the inside of certain joints (called “synovial joints”), such as your knee, shoulder or elbow. In a synovectomy procedure, much of the synovium is removed.

Can 29827 and 29823 be billed together?

The answer is Yes and No Per the 2017 CMS NCCI Surgical Policy Manual code 29823 CAN be billed with 29824, 29827 & 29828 ONLY. Remember this is a CMS policy. For CMS or those who follow CMS guidelines, yes you can bill 29823.

Can 29827 and 29828 be billed together?

You can bill 29827 & 29828 together as there is no edit that prohibits it. In 2017 CMS stated in the NCCI Surgical Policy Manual that the shoulder is considered “one anatomical” unit or location. As such, when billing Medicare or any insurance that follows their rules, you cannot bill any coding pair that hits an edit.

When to use code 29822 or 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.

What’s the difference between 29836 and 29838 elbow codes?

Per guidelines modifier does documentation support differant session, differant porcedure or sugery differant site or organ system, separate incision/excision, separate lesion or separate injury not ordinarily encountered or perfermed on same day by same individual. It sounds like 29838 decribes the whole surgery.

Can a partial synovectomy be performed in 29836?

In 29835, the physician may also perform a partial synovectomy, where in 29836 the physician may perform a complete synovectomy. In 29837, the physician performs a limited debridement.