The surgeon is stating that a remplissage is included in the code 29806. However, I feel it is necessary to code the 29806 AND a 29999.Here is the reasons why… CAN SOMEONE PLEASE TELL ME IF I AM INCORRECT? THANK YOU
AHA Coding Clinic for HCPCS, 4Q 2016, Volume 16, Number 4, Page 10
QUESTION 2
A patient was seen at our facility for an arthroscopic anterior capsulolabral repair and an arthroscopic remplissage and rotator cuff repair. We were instructed that the arthroscopic remplissage procedure was equivalent to an arthroscopic rotator cuff repair and should be assigned CPT code 29827. Many of our coders disagree with this code assignment.
What would the correct CPT code assignment be for the procedures performed?
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. The Remplissage procedure is an arthroscopic method of filling the Hill-Sachs defect which involves the fixation of the infraspinatus and posterior capsule into Hill-Sachs lesions to prevent humeral bony defects from engaging with the glenoid rim