Anterior and Posterior Labral Repairs

Question:

Our surgeon documented anterior inferior labral repairs and then documented posterior inferior repairs.  The surgeon wants to report 29806 x 2 and I do not believe that is correct.  Will you assist?

Answer:

Thank you for your question. You are correct in that CPT code 29806 may not be reported twice. You will report 29806-22 once that includes both labral repairs. Remember to increase your standard fee to signify this code is different than the traditional code (no modifier).

 
 
KZA - Orthopaedics - Coding Coach
 
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Billing for an Iatrogenic Injury, Not my Patient (Stage 2)