CPT CODES

CPT Code 29856

CPT code 29856 is a medical billing code used for tibial arthroscopy or surgery, helping healthcare providers document and bill for the procedure.

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What is CPT Code 29856

CPT code 29856 is used to describe a surgical procedure involving arthroscopy of the tibia. This code specifically refers to the endoscopic examination, diagnosis, and treatment of conditions affecting the tibia, typically involving the removal of loose bodies, repair of cartilage, or addressing other intra-articular issues within the knee joint. This procedure is minimally invasive and allows for quicker recovery times compared to open surgery.

Does CPT 29856 Need a Modifier?

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CPT Code 29856 Medicare Reimbursement

CPT code 29856 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, along with the corresponding reimbursement rates. However, it is important to note that the final determination of reimbursement for CPT code 29856 may also depend on the policies of the Medicare Administrative Contractor (MAC) for your region. MACs are responsible for processing Medicare claims and can have localized policies that affect coverage and payment. Therefore, it is advisable to consult the MPFS and your regional MAC for the most accurate and up-to-date information regarding the reimbursement of CPT code 29856.

Are You Being Underpaid for 29856 CPT Code?

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level, including specific codes like 29856. Schedule a demo today to see how RevFind can help you identify discrepancies with individual payers and optimize your revenue.

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