DecisionHealth, DecisionHealth - 2023 Issue 4 (April)

Q&A: Check payer policies before billing for subacromial balloon spacer

Question: We are hoping you can help with billing the physician’s professional claim for placement of a subacromial balloon spacer. There are some cases where the surgeon is implanting the spacer but also doing other procedures as well. For example, in one case, a rotator cuff was repaired, an extensive debridement was done and a balloon spacer was implanted. Would we report all of these procedures under unlisted code 29999, or would only the balloon spacer be covered by it?

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