CPT code 29914 is a medical billing code for hip arthroscopy with femoroplasty, used to describe a specific surgical procedure.
CPT code 29914 is for a hip arthroscopy procedure that includes femoroplasty. This means that during the surgery, a healthcare provider uses minimally invasive techniques to access the hip joint and reshape or smooth the femoral head (the ball part of the hip joint) to improve function and reduce pain, often addressing issues like impingement or other structural abnormalities.
When billing for CPT code 29914 (Hip arthroscopy with femoroplasty), several modifiers may be applicable depending on the specific circumstances of the procedure. Below is a list of potential modifiers that could be used:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both hips during the same session.
2. Modifier 51 - Multiple Procedures: This modifier is appropriate if multiple surgical procedures are performed during the same operative session.
3. Modifier 59 - Distinct Procedural Service: This modifier indicates that the procedure is distinct or independent from other services performed on the same day.
4. Modifier 76 - Repeat Procedure by Same Physician: Use this modifier if the procedure is repeated by the same physician on the same day.
5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is applicable if the procedure is repeated by a different physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating Room: This modifier should be used if the patient requires a return to the operating room for a related procedure within the global period.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used if a different procedure is performed by the same physician during the postoperative period of the original procedure.
8. Modifier AS - Physician Assistant/ Nurse Practitioner/ Clinical Nurse Specialist: This modifier indicates that the service was performed by a non-physician provider under the supervision of a physician.
9. Modifier LT - Left Side: Use this modifier to specify that the procedure was performed on the left hip.
10. Modifier RT - Right Side: This modifier indicates that the procedure was performed on the right hip.
It is essential to select the appropriate modifier(s) based on the specific circumstances of the procedure to ensure accurate billing and compliance with payer requirements.
CPT code 29914 is reimbursed by Medicare, but it is essential to verify the specific details through the Medicare Physician Fee Schedule (MPFS) and consult with your regional Medicare Administrative Contractor (MAC). The MPFS provides a comprehensive list of covered services and their respective reimbursement rates, while the MAC can offer localized guidance and any additional requirements or restrictions that may apply. Always ensure to check the latest updates and guidelines from both the MPFS and your MAC to confirm the reimbursement status and any pertinent billing instructions for CPT code 29914.
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