Physician did a Superior Capsular reconstruction for an irreparable rotator cuff tear. In my research on how to code this, I have seen several different ways of coding this procedure. I have seen 29806 ( and some add a 22 modifier), I have seen 29827, I have also seen 29999 and compare to 23420. I have never had much luck with getting payment on the unlisted code when I have used it previously, so I was hesitant with using it for this procedure.
Can anyone give me insight if any of these scenarios are correct or should it be something else? And also, have you had any luck with receiving payment ? It seems the physician has put a lot of work into this procedure what with the graft and everything. I would like to do the correct code. Thank you for any help