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Carmel Posted Fri 10th of April, 2015 10:39:11 AM

I billed cpt 29824 back on 04/08/2014. The doctor removed 5mm of the distal clavicle.
The insurance denied stating code 29824 requires 8-10mm of clavicle be removed.

When I look up cpt 29824 there is nothing that I can find that specifies how much needs to be removed.

Is this correct? Does it have to be 8-10mm

SuperCoder Answered Mon 13th of April, 2015 01:06:38 AM

Yes, According to CPT assistant and AAOS guidelines they both agree that size of distal clavicle resection does need to be documented at least 8mm-10mm to prove that this is just not removal of osteophytes/spurs.

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