CPT code 29902 is a medical billing code for surgical arthroscopy of the MCP joint, used to describe specific procedures in healthcare.
CPT code 29902 is used to describe a surgical procedure involving arthroscopy of the metacarpophalangeal (MCP) joint. This procedure typically involves the use of a small camera and instruments inserted through tiny incisions to diagnose and treat conditions affecting the MCP joint, which is located at the base of the fingers. The code encompasses various surgical interventions that may be performed during the arthroscopy, such as removing loose bodies, repairing ligaments, or addressing cartilage damage.
When billing for CPT code 29902 (MCP joint arthroscopy surgery), several modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers that could be used, along with the reasons for their use:
1. Modifier 50 - Bilateral Procedure
Used when the procedure is performed on both hands or both sides of the body.
2. Modifier 51 - Multiple Procedures
Indicates that multiple procedures were performed during the same session.
3. Modifier 59 - Distinct Procedural Service
Used to indicate that a procedure was distinct or independent from other services performed on the same day.
4. Modifier 76 - Repeat Procedure by Same Physician
Indicates that a procedure was repeated by the same physician on the same day.
5. Modifier 77 - Repeat Procedure by Another Physician
Used when a procedure is repeated by a different physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room
Indicates that a patient returned to the operating room for a related procedure during the postoperative period.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
Used when a procedure is performed that is unrelated to the original procedure during the postoperative period.
8. Modifier LT - Left Side
Indicates that the procedure was performed on the left side of the body.
9. Modifier RT - Right Side
Indicates that the procedure was performed on the right side of the body.
10. Modifier 22 - Increased Procedural Services
Used when the work required to provide a service is substantially greater than typically required.
These modifiers help provide additional context for the services rendered and ensure accurate billing and reimbursement for the procedure. It is essential to select the appropriate modifier(s) based on the specific circumstances of the procedure to avoid claim denials and ensure compliance with payer requirements.
CPT code 29902 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, including the associated reimbursement rates.
Additionally, it is crucial to consult with your regional Medicare Administrative Contractor (MAC) to confirm any local coverage determinations or specific billing requirements that may apply to CPT code 29902. Each MAC may have unique guidelines and policies that could impact the reimbursement process.
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