Superior Capsular Reconstruction

Superior Capsular Reconstruction

July 11, 2019

Question:
What CPT codes do I use for comparison when the surgeon performs a superior capsular reconstruction? I know I have to use an unlisted code.

Answer:
Great job in knowing that this procedure is reported with an unlisted code. The AAOS recommends comparing this procedure to CPT codes 29827 and 29806.  Remember, the unlisted code is reported on the claim form; it is important to notate box 19 of the claim form the name of the procedure and the comparison codes for the unlisted code, 29999.

*This response is based on the best information available as of 07/11/19.

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