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Kienbock’s w/ Proximal row carpectomy with a dorsal capsule interposition flap

Anyone have guidance on the coding for the capsular interposition flap when done along with the PRC (or is it considered inclusive). When reading the CPT Lay Asst. I can’t discern if the phrasing "Ligaments may need to be reattached to other bones" is sufficient for the work – any thoughts appreciated. Thank you!
Cindy

Medical Billing and Coding Forum

Need Help for Arthroscopic Superior Capsule Reconstruction cpt code ???

he did
Arthroscopic assist superior capsular reconstruction ( 29999 ) ??? or 29806-22
open subacromial decompression ( 23130 )
distal clavicle excision ( 23120 )
biceps tenodesis ( 23430 )
open rotator cuff repair to the superior capsule ( 23412 )

any feedback on all of this.

thanks

Medical Billing and Coding Forum

Capsule not reaching colon prior to completion of study

We had an instance were a patient had a capsule endoscopy done, the report states normal small bowel was visualized, but the capsule did not reach the colon prior to completion of study.

Billing wise- would this be reported as an incomplete? 91110-52

Thank you!

Medical Billing and Coding Forum

Looking for opinions on capsule reading and billing global

Good Afternoon All,

If a provider is buying the capsule cams, has the download center equipment and is paying someone to read their capsule but then reading it themselves and signing the note that the provider read the test; would this be allowed in order to bill globally?

I was told if the contractor that is being used is a 1099 employee of the practice then this would allow us to bill globally?

Would really like to get opinions and thoughts.

Any help is greatly appreciated!

Medical Billing and Coding Forum