Palmetto GBA, the Part B MAC for jurisdiction 1 and 11, has determined thermal capsulorrhapy not medically necessary due to the lack of clinical evidence to demonstrate improved health outcomes, according to an AAPC release.
According to the report, thermal capsulorrhapy is proposed as a minimally invasive arthroscopic procedure to tighten the capsule and ligaments of joints for the treatment of joint instability, including the shoulder, knee and elbow. The Medicare administrative contractor announced April 7 that claims submitted for this service will be denied.
Jurisdiction 1 covers Northern California, Southern California, Nevada, Hawaii and the Pacific Islands and jurisdiction 11 covers North Carolina, South Carolina, Virginia and West Virginia.
Read the AAPC report on thermal capsulorrhaphy.
Read more on coding, billing and collections:
-CMS Publishes Coding Guidance for Medicare-Covered Preventative Services
-Court Ruling: Outside Vendor Can Determine Arizona Workers' Comp Rates for Surgery Centers
-Coding Experts Criticize Suggestion to Postpone ICD-10
According to the report, thermal capsulorrhapy is proposed as a minimally invasive arthroscopic procedure to tighten the capsule and ligaments of joints for the treatment of joint instability, including the shoulder, knee and elbow. The Medicare administrative contractor announced April 7 that claims submitted for this service will be denied.
Jurisdiction 1 covers Northern California, Southern California, Nevada, Hawaii and the Pacific Islands and jurisdiction 11 covers North Carolina, South Carolina, Virginia and West Virginia.
Read the AAPC report on thermal capsulorrhaphy.
Read more on coding, billing and collections:
-CMS Publishes Coding Guidance for Medicare-Covered Preventative Services
-Court Ruling: Outside Vendor Can Determine Arizona Workers' Comp Rates for Surgery Centers
-Coding Experts Criticize Suggestion to Postpone ICD-10