Taylor Posted Thu 16th of April, 2015 10:09:03 AM
We keep getting a denial for 29879 stating that our documentation does not support the level of service billed. Can you please review the documentation I've included and advise as to what we are missing for the payer to keep denying for lack of support in the documentation? We did get paid for procedure code 29880 but they continue to uphold the denial for 29879.
From operative report: I used a standard medial and lateral prarapatellar portal. I looked in the patellofemoral joint. The femoral trochlea looked excellent. It was grade-2 injury to the medial aspect of the patella. I used a shaver to remove all the loosely attached pieces of cartilage. Any hard and healthy articular cartilage was left intact. After thorough abrasion chondroplasty, I probed the remaining surface and found it to be stable. Examination of the medial, lateral gutters of the suprapatellar pouch revealed no evidence of any loose bodies. Examination of the medical joint line revealed an intact medial femoral condyle, tibial plateau and a complex tear of the posterior horn of the medial meniscus. I used a basket forceps to resect the torn portion of the meniscus. I used a shaver to smooth the rim of the remainder of the meniscus.....
SuperCoder Answered Fri 17th of April, 2015 03:23:16 AM
AAE does not provide coding for operative reports and chart notes.
SuperCoder offers SuperCoding on Demand (SOD) (http://www.supercoder.com/coding-answers/coding-on-demand) for coding of an operative report or chart note and you can contact (866)228-9252 or e-mail email@example.com for more information.