For the denails we are receiving from medicare for the CPT 93656 which is done one month after the surgery performed of CPT 33208 ( 90 day global package). Is that CPT 93656 is inclusive CPT 33208 (global surgical package)?
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Assistant Surgeon claim denial: considered inclusive …
is an arthroscopic biceps tenotomy inclusive to extensive debridement
7. Shoulder arthroscopy procedures include limited debridement (e.g., CPT code 29822) even if the limited debridement is performed in a different area of the same shoulder than the other procedure. With three exceptions, shoulder arthroscopy procedures include extensive debridement (e.g., CPT code 29823) even if the extensive debridement is performed in a different area of the same shoulder than the other procedure. CPT codes 29824 (arthroscopic claviculectomy including distal articular surface), 29827 (arthroscopic rotator cuff repair), and 29828 (biceps tenodesis) may be reported separately with CPT code 29823 if the extensive debridement is performed in a different area of the same shoulder.
There were 2 separate arthroscopic portals made one was posterior and then once tenotomy was complete scope was removed and an lateral acromial anterior portal was made.
Can someone tell me where this guidelines is… as I now have conflicting information.
Thank you in advance!!!!
Co-surgeon on inclusive part of a larger case
I have a case where Surgeon A is performing a Lap Pyeloplasty and has asked Surgeon B to be in the OR for the Laparoscopy due to prior mesh placement by that surgeon (surgeon B).
Surgeon B has documentation of the initial laparoscopy and after they gain access and review mesh placement, etc Surgeon B leaves and Surgeon A finishes the case.
Is the work done by Surgeon B billable?
Thanks!