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RCR vs. Capsulorrhaphy

Pia Posted Tue 21st of April, 2015 13:29:08 PM

Is 29806 bundled into 29827? If so, why?!

SuperCoder Answered Wed 22nd of April, 2015 00:39:43 AM

CCI edits states that CMS considers the shoulder joint to be a single anatomic structure. An NCCI procedure to procedure edit code pair consisting of two codes describing two shoulder joint procedures should never be bypassed with an NCCI-associated modifier when performed on the ipsilateral shoulder joint. This type of edit may be bypassed only if the two procedures are performed on contralateral joints. Thats why, you should report CPT 29827 only if both procedures performed on same shoulder.

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