Specialized Toolkit Series: Arthroscopic Hip Treatments-Preoperative Planner: Dealing with Insurance/Pre-Authorizations

Preoperative Planner: Dealing with Insurance/Pre-Authorizations

Video Transcription

Video Summary

The video outlines the preauthorization process for arthroscopic hip procedures, focusing on CPT codes 29914, 29915, 29916, and 29999. It explains that preauthorization is necessary based on insurance, highlighting that CPT code 29999, used for unlisted procedures, is reviewed post-surgery. Essential documentation includes patient MRI reports, clinical notes, and proof of 12 weeks of conservative treatment. A detailed letter supporting the necessity of surgery is often required. Denied codes can undergo peer reviews and appeals. Meticulous documentation and adherence to insurance criteria facilitate smoother navigation of this process.

Asset Caption

Shane J. Nho, MD, MS

Keywords

preauthorization

arthroscopic hip

CPT codes

insurance

documentation