Cpt code for knee arthroscopy with chondroplasty. The camera shows the inside of your knee.

Cpt code for knee arthroscopy with chondroplasty. Evaluation of the cruciate ligaments is also reviewed.

Cpt code for knee arthroscopy with chondroplasty mircofx. PHYSICIAN CODING - KNEE CPT® Code CPT Description 27599 Unlisted procedure, femur or knee 29855 Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 For example, CPT code 29876 shall not be reported for a major synovectomy with CPT code 29880 (Knee arthroscopy, medial AND lateral meniscectomy) on the ipsilateral knee, since knee arthroscopic procedures other than synovectomy are performed in 2 of the 3 knee compartments. May 21, 2012 · You will need to know the bundling of code G0289 (Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage [chrondroplasty] at the time of other surgical knee arthroscopy in a different compartment of the same knee) into 29880 (Arthroscopy, knee, surgical; with meniscectomy [medial AND Feb 1, 2002 · The Complete Global Service Data for Orthopaedic Surgery guide of the American Academy of Orthopaedic Surgeons states that 29879 (Arthroscopy, knee, surgical; abrasion arthroplasty [includes chondroplasty where necessary] or multiple drilling or microfracture]) includes articular shaving, debridement, and/or chondroplasty (e. Clinical Application. The primary goal of this procedure is to remove fibrous Jul 27, 2020 · For example, CPT code 29876 shall not be reported for a major synovectomy with CPT code 29880 (Knee arthroscopy, medial AND lateral meniscectomy) on the ipsilateral knee, since knee arthroscopic procedures other than synovectomy are performed in two of the three knee compartments. 92 A 30 degree scope, Dandy nerve hook, basket forceps and articular shaver were used. Look to These Codes for Knee Arthroscopy. Dec 6, 2009 · Medicare rules specify the use of HCPCS G0289 to report a chondroplasty performed with another arthroscopic knee procedure. Right knee arthroscopy, chondroplasty of patella, arthroscopic lateral release. (NIA) is a subsidiary of Evolent Health LLC. However, surgeons must use the G code G0289 if the arthroscopic chondroplasty is performed in addition to other arthroscopic knee procedures for Medicare patients. 3. This code is used for Medicare patient’s to report the procedure in that description, when performed in 29880 arthroscopy, knee, surgical; with meniscectomy (medial and lateral, joint INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), Feb 1, 2024 · 29880 Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed 19 American Academy of Orthopaedic Surgeons (AAOS) AAOS Now - January 2013: “CPT code 29875, limited synovectomy, is described as a ‘separate procedure. 462 (Effusion, left knee) appended to 29870 to represent the patient’s knee swelling; M25. The Current Procedural Terminology (CPT ®) code 29876 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Arthroscopy Procedures on the Musculoskeletal System. . Knee Arthroscopy (when performed in conjunction with TKA or PKA): 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy. When Arthroscopy Goes Surgical, Look to Other Codes. Procedure was performed Aug 21, 2000 · Coding Knee Arthroscopies A Case Study Page 8 coding corner Coding Knee Arthroscopies: A Case Study Peggy Hapner, CCS, RHIA In the procedure described below, note that the chondroplasty was performed in a separate compartment. Procedures/Professional Services (Temporary Codes) G0289 is a valid 2025 HCPCS code for Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee or just “Arthro, loose body + chondro” for short, used in Surgery. Major synovectomy (CPT code 29876) is only considered medically necessary when a disease of the synovium (e. " Feb 19, 2009 · Dr did an arthroscopic SLAP repair and microfracture chondroplasty humeral head. CPT 29877 refers to the surgical procedure of arthroscopy of the knee, specifically focusing on the debridement or shaving of articular cartilage, also known as chondroplasty. Aug 20, 2010 · The compartment coding concept is important for coding arthroscopic procedures in the knee accurately. We therefore went ahead with excision of the plica and a chondroplasty. CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) shall not be reported with other knee arthroscopy codes (29866-29889). Oct 22, 2008 · 3. , osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) shall not be reported with other knee arthroscopy codes (29866-29889). 29881-LT, 29877-59-LT b. 1, Medicare has assigned CPT® 29877 (chondroplasty) as a column 2 code for CPT® 29879 (Surgical arthroscopy of knee with microfracture chondroplasty) with a modifier indicator of "0" means you never unbundle these code pairs under any circumstances. It's a wise idea to validate coverage and coding (unlisted code 29999, for example) with your local payors. . Sep 12, 2004 · You should report 29881 (Arthroscopy, knee, surgical; with meniscectomy [medial OR lateral, including any meniscal shaving]) once, followed by two units of G0289 (Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage [chondroplasty] at the time of other surgical knee arthroscopy in a Oct 3, 2023 · In a study investigating the effects of chondroplasty at the time of arthroscopic partial meniscectomy (APM), no significant differences in pain, physical knee measurements, joint space narrowing or the rate of additional knee surgery were observed 5 years after surgery between those who underwent chondroplasty with APM and those who did not Knee arthroscopy is the most commonly performed orthopaedic procedure. Because of this, a code can be assigned. For claims submitted to the Part B MAC: Aug 21, 2017 · Right knee arthroscopy with partial medial meniscectomy, debridement chondroplasty of the medial patellar compartments with extensive synovectomy including excision of medial plica with internal fixation, stress reaction/stress fracture of the medial tibial Our last coding challenge comes with determining the reporting of CPT code 29877 vs. Mar 3, 2014 · When arthroscopic chondroplasty is performed in the absence of meniscectomy, 29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) may also be reported (as long as the procedure doesn’t bundle with any other code also billed). Recovery Time . Left shoulder arthroscopy with subacromial decompression through separate fascial plane. " This website and its contents may not be reproduced in whole or in part without Nov 22, 2024 · Hello all, my boss and I are having a hard time coming up with a correct CPT code for this procedure, when we receive a work sheet to obtain prior auth this is the description of the procedure that we get- Knee arthroscopy open MPFL allograft reconstruction, chondroplasty VS. Dec 16, 2010 · The introduction of code G0289 for Medicare patients invalidates the use of CPT code 29877 when the chondroplasty is performed with another arthroscopic knee procedure. medial meniscectomy). “A provider would CPT code 29881 is used to describe a knee arthroscopy procedure that involves surgical intervention. Meniscus removal, loose body removal, chondroplasty, microfractures, irrigation and debridement, and tendon repair are some of the reasons. Looking for code for microfracture. This provides smoother transition between the damaged and healthy cartilage resulting in better Jan 1, 2025 · 6. While both codes deal with cartilage damage, 29877 applies when the procedure is confined to one compartment, whereas G0289 is used only when intervention occurs in another, separate compartment. There are two primary types of cartilage in the knee: Articular (Hyaline) cartilage. 29877 is debridement performed with a motorized suction cutter. An important HCPCS code is G0289, Arthroscopy, knee, surgical, for removal of loose body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee. Official Description of CPT 29881. CPT Code: 29876 Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral) 5. Right knee arthroscopy with loose body removal measuring 1. HCPCS Level II Code G0289, Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee, when a Apr 1, 2021 · No official coding guidance has been released on appropriate CPT coding for this procedure. If the procedure Oct 5, 2017 · Medicare instructs providers to use of HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chrondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee, instead of 29877, to report chondroplasty when it’s Oct 1, 2015 · Report CPT code 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage [chrondroplasty]) for arthroscopic debridement with presentation of knee pain only, or arthroscopic debridement without lavage for patients with severe osteoarthritis. 29881-LT c. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with meniscal shaving. The only time you would use the G0289 is when there is another arthroscopic procedure, which I know in this case you said he did a limited synovectomy, but I am thinking that the synovectomy was not the planned procedure and therefore incidental to the chondroplasty. Nov 5, 2019 · 29870 (Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)). Chondroplasty of shoulder Chondroplasty is a term used for smoothing over the irregular and loose edges of cartilage. From a CPT coding perspective, which knee compartment is a surgeon working in when performing an arthroscopic lateral retinacular release, code 29873, Arthroscopy, knee, surgical; with lateral release? Jun 29, 2013 · Knee arthroscopy is an important diagnostic and therapeutic tool in the management of disorders of the knee. The meniscus is a crescent-shaped cartilage that acts as a cushion between the femur (thigh bone) and tibia (shin bone). ’ This means that the work associated with this procedure is inclusive to more Feb 15, 2014 · Correct me if I am wrong on the coding of this procedure: Arthroscopy of knee Chondroplasty of patella Chondroplasty of Femoral Trochlea Chondroplasty of Medical Femoral Condyle Chondroplasty of Lateral Tibial Plateau Partial Medial Menisectomy Platelet Rich Plasma Injection DX: Complex tear Jun 1, 2022 · NAME OF PROCEDURE: Right knee examination under anesthesia, arthroscopy, medial plica excision, and medial femoral condyle chondroplasty. Arthroscopy is minimally invasive surgical procedure. Prior to the development of the arthroscope, open treatment of popliteal cysts was not uncommon 29881 - CPT® Code in category: Arthroscopy, knee, surgical CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. The code for arthroscopic abrasion arthroplasty, multiple drilling and/or microfracture (29879 Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture) may be coded per Simple documentation, however, does not automatically allow reporting of both the major synovectomy code 29876 and the meniscectomy code 29881 (Arthroscopy, knee, surgical, with meniscectomy [medial OR lateral, including any meniscal shaving] including debridement/shaving of articular cartilage [chondroplasty], same or separate compartment[s The surgeon recorded CPT 29882 and CPT 29881-59 for a right medial Meniscectomy, lateral meniscal repair, and tri-compartmental Chondroplasty. This allows the joint to move with minimal friction in a healthy knee. a physician will decide to perform a subchondroplasty during arthroscopic joint surgery to treat Jan 8, 2024 · The CPT codes 29874 (Arthroscopy, knee, surgical; removal of loose body or foreign body, for example, osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)) should not be used in conjunction with other knee arthroscopy codes (29866-29889). When the provider performs a diagnostic knee arthroscopy, the code choice is easy: you’ll report 29870 (Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)) for the service. Feb 1, 2020 · CPT® code 29880 reports a meniscectomy in both the medial and lateral compartments, while CPT® code 29881 indicates a meniscectomy in either the medial or lateral compartment. In a series of 4 articles, the basics of knee arthroscopy are reviewed. Although controversy exists as to the exact indications for treatment, these structures can cause extreme discomfort and morbidity, including pain from rupture and symptoms from neurovascular compromise. Arthroscope was inserted and patient noted to have marked synovitis of the notch. Nov 25, 2009 · SUMMARY: The patient underwent a right knee arthroscopy with partial medial and lateral meniscectomies for medial and lateral meniscal tears, and a chondroplasty in three compartments, namely the patellofemoral compartment, medial compartment, and lateral compartment, and as such will qualify as a full chondroplasty since this occurred in 29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) 29879 Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture You can capture it (although it will probably need an appeal) when performed in separate knee compartments. 10 new Orthopaedic CPT codes. Chondroplasty coding and documentation. CPT code 29881 is a surgical knee arthroscopy with a meniscectomy, including debridement or shaving of articular cartilage (chondroplasty) in one or more compartments A meniscectomy is a surgical procedure to remove a torn meniscus, Code 29881 specifies " medial OR lateral," and not "medial AND lateral," like 28990 does. arthroscopic chondroplasty (eg, 29877) Bella Note: Minor synovectomy (CPT code 29875) is considered integral to all other arthroscopic procedures of the knee. 7 and 733. I know Zimmer has a sort of coding suggested guide, but then I also heard that we should CPT 29884 refers to the surgical procedure of arthroscopy of the knee, specifically involving the lysis of adhesions, which may include manipulation of the joint. 1— Knee Arthroscopy ©2019-20221 National Imaging Associates, Inc. Synovial tissue was excised with the shaver. 29880. Thinking unlisted, if so will need help in comparrison code. 4. Right knee osteochondral fracture of the lateral femoral condyle and patella. Jun 6, 2011 · Name of operation-LT knee arthroscopy with arthroscopic chondroplasty patella post/op DX- Grade 3 chondromalacia of patella It was coded as 29877-LT/717. Had the debridement been performed in the same compartment, a code could […] Jun 22, 2011 · I am in the process of billing this knee surgery. " Jan 10, 2022 · Here’s a rundown of knee arthroscopy coding, along with a coding example. He made a lateral parapatellar portal and the medial plica was excised. Right knee biopsy of cartilage for planned return with MACI procedure. 6. For claims submitted to the Part B MAC: Official Descriptor: Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral). Can anyone help me with cpt for an Arthroscopic subchondroplasty ( Lateral condyle). CPT 29868 describes knee arthroscopy with surgical meniscal transplantation, including arthrotomy for meniscal insertion, either medial or lateral. Sep 4, 2008 · AMA guidelines support this coding. When To Use CPT 29880. g. Even though CPT code 29882 does not bundle the Chondroplasty. If your surgeons are performing "thermal chondroplasty," that's not the same procedure as chondroplasty (29877). 5 full Left diagnostic knee arthroscopy with partial lateral meniscectomy and chondroplasty a. Check relevant coding edits and with your payer(s) for guidance. More Articles on Orthopedic Surgery: Answer: You are correct to report 29881 (Arthroscopy, knee, surgical; with meniscectomy [medial OR lateral, including any meniscal shaving]) for the medial meniscectomy, but there's a better choice than 29877 (- debridement/shaving of articular cartilage [chondroplasty]) for the chondral debridement that will solve your microfracture challenge. • Other surgical arthroscopy procedures may be reported in addition to the above-listed injection procedure. 29873 – Arthroscopy, knee, with meniscectomy (if performed in addition to replacement). This code specifically refers to the arthroscopic surgical repair of a torn meniscus in the knee. The frayed cartilage around the periphery of the lesion was addressed with a 4. What is CPT code 29882? CPT code 29882 represents a surgical procedure known as arthroscopy of the knee with meniscus repair, specifically targeting either the medial or lateral compartment. CPT Assistant, August 2001, specifically states, "If the knee arthroscopy with limited synovectomy were performed in a different knee compartment than another knee procedure, modifier 59 would be appended to code 29875 to indicate that a different compartment was involved. Slippery and flexible, hyaline (articular) cartilage within the knee joint allows, has less friction than two pieces of glass placed together. Procedure Rationale: CPT Rationale: The procedure performed was an arthroscopic excision of the medial plica. 29880 (Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed) through 29883 (Arthroscopy May 20, 2008 · If the planned procedure was for the chondroplasty, then you would bill for the 29877. Arthroscopic chondroplasty is performed as an outpatient procedure. May 6, 2018 · Popliteal cysts, often referred to as Baker's cysts, are a common occurrence in the adult knee. Nov 1, 1999 · Coding the chondroplasty: CPT code 29877 (arthroscopy, knee, surgical; debridement shaving of articular cartilage [chondroplasty]) applies to the chondroplasty (a procedure that aims to stimulate growth of new cartilage across a lesion or microfracture), if the payer recognizes the procedure as separate from the ACL revision. Can lysis be coded with the menisectomy if it is in a separate compartment. This minimally invasive technique allows the healthcare provider to visualize and treat conditions within the knee joint through small incisions. Jan 17, 2023 · CPT code 29876 may be reported for a medically reasonable and necessary synovectomy with another arthroscopic knee procedure on the ipsilateral knee if the synovectomy is performed in 2 compartments on which another arthroscopic procedure is not performed. I know i can bill 29881 and the chondroplasty is included in the 29881 as it is in the same compartment. PROCEDURES PERFORMED: 1. Indications include diagnostic arthroscopy, meniscectomy, loose body removal, chondroplasty, microfracture, irrigation and debridement, and ligament reconstruction. 5. Oct 1, 2015 · Report CPT code 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage [chrondroplasty]) for arthroscopic debridement with presentation of knee pain only, or arthroscopic debridement without lavage for patients with severe osteoarthritis. 562 (Pain in left knee) appended to 29870 to represent the patient’s knee pain. Dec 10, 2024 · 27486 – Revision of total knee arthroplasty, with or without patellar resurfacing. The Current Procedural Terminology (CPT ®) code 29877 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Arthroscopy Procedures on the Musculoskeletal System. The procedure was arthroscopy of the knee with excision of thickened medial plica, chondroplasty of the medial femoral condyle and lateral retinacular release. Jul 29, 2022 · CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e. I see that the 29873 for lateral release bundles the medial plica excision 29875. CPT 29879 refers to a surgical procedure known as arthroscopy of the knee, specifically involving abrasion arthroplasty. DESCRIPTION Oct 22, 2010 · orthopedic surgeon did an arthroscopy/partial medial meniscectomy, chondroplasty of the medial medial compartment and resection of medial plica. CPT code 29876 is applied in clinical settings where patients experience significant knee joint issues due to synovial membrane inflammation or damage. Patient was noted to have small medial synovial plica that was trimmed with the shaver as well. Knee Arthroscopy & Chondroplasty Coding Changes for 2012 Knee Arthroscopy: Medial and Lateral Meniscectomy, Cyclops Excision and Chondroplasty performed to 61-year-old male patient; Knee Arthroscopic: Lateral Meniscectomy and Chondroplasty of the Patella and Medial Femoral Condyle in a 34-year-old female; Medial and Lateral Meniscectomy and Chondroplasty in a 59-year-old female Feb 4, 2021 · 1. What is arthroscopic knee chondroplasty (Arthoscopic knee surgery)? Arthroscopic chondroplasty treatment is completed with arthroscopy — inserting thin surgical instruments in small incisions around your knee. INDICATIONS: Our last coding challenge comes with determining the reporting of CPT code 29877 vs. Evaluation of the cruciate ligaments is also reviewed. During arthroscopic knee surgery, your healthcare provider inserts a tiny camera through an incision. Right knee patella traumatic lateral dislocation. Knee Arthroscopy *National Imaging Associates, Inc. The images appear on a screen in the operating room. She may also perform shaving or debridement of the damaged articular cartilage, or chondroplasty, in the same or a separate HCPCS code G0289 for Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee as maintained by CMS falls under Miscellaneous Diagnostic and Therapeutic Services . Oct 1, 2015 · Report HCPCS code G0289 for arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee. Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 Chondroplasty is an option in cases of mild to moderate cartilage wear. The camera shows the inside of your knee. Nov 24, 2008 · Doctor did lateral menisectomy and lysis of adhesions in the medial and patellofemoral compartments. •6 Other NCCI Instructions • CPT® codes 29874 (Surgical knee arthroscopy for removal of loose body or foreign body) and 29877 ((g py gSurgical knee arthroscopy for debridement/shaving of Sep 2, 2009 · In arthroscopic knee surgery, the knee is subdivided into the following three compartments: medial, lateral, and patello-femoral. Select the most specific code based on documented indications for the procedure as well as the actual description (body of the note), which describes what was done. It does not include arthroscopic meniscectomy and/or repair or arthroscopic removal of loose Dec 3, 2020 · Explanation: There is a code for chondroplasty, 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)). 5 x 2 cm. 27403 Arthrotomy with meniscus repair, knee 29868 Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), 29880 Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including Knee arthroscopy is an important diagnostic and treatment technique for knee illness. This procedure would be unlisted because of the way the cartilage is treated. Knee Arthroscopy: Medial and Lateral Meniscectomy, Cyclops Excision and Chondroplasty performed to 61-year-old male patient; Knee Arthroscopic: Lateral Meniscectomy and Chondroplasty of the Patella and Medial Femoral Condyle in a 34-year-old female; Medial and Lateral Meniscectomy and Chondroplasty in a 59-year-old female In this procedure, the provider performs arthroscopic examination of the knee joint. In this article (part 4), the basics of operative knee arthroscopy are reviewed including chondroplasty and meniscectomy. 29880-LT, 29877-59-LT d. , pigmented villonodular synovitis, synovial osteochondromatosis) is identified pre-operatively. Mar 23, 2005 · If the surgeon performed the knee surgery on a non-Medicare patient you should report 29877-59 (Arthroscopy knee surgical; debridement/shaving of articular cartilage [chondroplasty]; Distinct procedural service) for the separate-compartment chondroplasty says Heidi Stout CPC CCS-P coding and reimbursement manager at UMDNJ-RWJ University Oct 5, 2021 · M25. I have seen where people have suggested the unlisted code ( 29999), but I have also heard of using CPT 29855. CPT code 29881 modifies 59 to indicate a separate procedure in a different anatomic site (lateral repair vs. There was noted to be diffuse Grade IV changes, and articular cartilage flaps were smoothed with a shaver. Left shoulder arthroscopy with distal clavicle excision through separate fascial plane. I'd appreciate input. Feb 1, 2016 · Since 2003, Medicare has instructed providers to use HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chrondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee*, instead of 29877, to report chondroplasty 4. The Current Procedural Terminology (CPT ®) code 29881 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Arthroscopy Procedures on the Musculoskeletal System. Mastery of these techniques is Apr 30, 2012 · Reporting the CPT code 29877 for chondroplasty in Medicare patients is acceptable if only the chondroplasty is performed. 29884 has a separate code designation which always makes me think twice before using it. Apr 24, 2012 · Answer: You report 29880 (Arthroscopy, knee, surgical; with meniscectomy [medial AND lateral, including any meniscal shaving] including debridement/shaving of articular cartilage [chondroplasty], same or separate compartment[s], when performed) for the lateral and medial meniscectomy. Both codes include debridement/shaving of articular cartilage (chondroplasty), in the same compartment or separate compartments of the same knee. Left shoulder arthroscopy with extensive debridement of joint. arthroscopy is not separately reportable if performed during the same operative session as the injection procedure/other surgical arthroscopy. Apr 24, 2012 · However, if you'll look current CCI edits version 18. Accurately code hip fractures. On the monitor, the orthopedic surgeon can see the structures of the knee. 2. Right knee loose body. 29880-LT b Repair of fractured tibia with syndesmosis injury. Left shoulder arthroscopy with chondroplasty with abrasion-plasty of the glenoid. , 29877). This does not mean that you cannot report a concomitant knee chondroplasty performed in a different compartment. This minimally invasive technique allows healthcare providers to examine the interior of the knee joint using an arthroscope, a specialized instrument equipped with a 29880—Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving), including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment (s), when performed. Debridement chondroplasty may be medically necessary for Knee Arthroscopy: Medial and Lateral Meniscectomy, Cyclops Excision and Chondroplasty performed to 61-year-old male patient; Knee Arthroscopic: Lateral Meniscectomy and Chondroplasty of the Patella and Medial Femoral Condyle in a 34-year-old female; Medial and Lateral Meniscectomy and Chondroplasty in a 59-year-old female fixation, when performed (includes arthroscopy) 29856 Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 27599 Unlisted procedure, femur or knee 29999 Unlisted procedure, arthroscopy PHYSICIAN CODING - ANKLE CPT Codes CPT Description 1. The recovery time for this procedure is much faster than traditional open knee surgery, because it is done using arthroscopy. This procedure is designed to repair and reshape the articular cartilage within the knee joint, which may be damaged due to injury or degenerative conditions. Examination showed localized chondromalacia of the lateral aspect of the patella that was smoothed with a shaver. CPT code 29877 is another relevant code that describes chondroplasty of the knee, which may seem similar to G0289, but they differ in their scope. 29879 is similar, but it uses a pick or drill to create tiny holes in the Feb 23, 2009 · Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) 29879. However, you cannot report 29877 along with a medial/lateral meniscectomy on the same knee during the same session. The goal of surgery is to lessen friction in the joint, allowing the knee to move freely and without pain. Mar 28, 2014 · Only for carriers that recognize and allow the G0289 code 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign) may be reported in addition to other arthroscopic knee procedures, including arthroscopic chondroplasty and arthroscopic microfracture, if either of the following requirements are met: Coding for knee arthroscopy and chondroplasty. The provider might also opt to perform a surgical knee arthroscopy, in which case 29870 is off the table. Apr 24, 2012 · You will turn to CPT® code 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage [chondroplasty]) to report an arthroscopic chondroplasty which your surgeon does in the medial, lateral, and/or patellofemoral compartment (s). If they denied the 29877 with a 29876 your appeal would be based on the 29876 being peformed in the medial + lateral compartments and the 29877 being performed in the patellofemoral compartment. CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e. This is from the op note: We addressed the articular cartilage defect first. Dec 29, 2021 · What is knee arthroscopy? Healthcare providers use knee arthroscopy to diagnose and treat a wide range of knee injuries. Official Descriptor: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed. CPT code 29880 is used when a provider performs an arthroscopic meniscectomy on both the medial and lateral compartments of the knee, along with any necessary debridement or chondroplasty of the articular cartilage. Left knee arthroscopy, synovectomy of the notch, chondroplasty patella. Sep 17, 2009 · According to the AAOS GSD, code 29879 covers: synovial resection for visualization; removal of osteochondral and/or chondral bodies (attached); diagnostic arthroscopy; chondroplasty; lavage and drainage; lysis of adhesions, and manipulation of the knee. With 2 © 1995-2025 by the American Academy of Orthopaedic Surgeons. , DEBRIDEMENT CHONDROPLASTY NOTE: Arthroscopic debridement with or without chondroplasty for Mar 1, 2021 · Which CPT code should modifier 59 be appended to when a patient has a diagnostic arthroscopy of the left knee (29870) and an arthroscopic medial meniscectomy of the right knee (29881)? Answer: Modifier 59, Distinct Procedural Service, should be appended to the lesser valued code. Oct 26, 2018 · If the same procedure is performed via scope, debridement code 29877 (arthroscopy, knee, surgical; debridement/shaving of the articular cartilage [chondroplasty]) may be appropriate. Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture. CPT 29867 describes knee arthroscopy with a surgical osteochondral allograft, such as mosaicplasty. Arthroscopic chondroplasty is a procedure used to repair small areas of damaged cartilage in the knee. HCPCS Level II Code G0289, Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee, when a Left diagnostic knee arthroscopy with partial lateral meniscectomy and chondroplasty 29881-LT (Diagnostic knee arthroscopy is considered bundled in the definitive surgical procedures of the meniscectomy and, therefore, not separately reportable. They are indeed performing a chondroplasty, but it is with a device that is different from those used in 29879 and 29877. "All Rights Reserved. The arthroscope sends the image to a television monitor. CPT and AAOS allow this type of coding. Sep 4, 2020 · 29876 Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) 29877 Arthroscopy, knee, surgical; debridement/ shaving or articular cartilage (chondroplasty) 29879 Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture Jan 28, 2025 · 29873 - CPT® Code in category: Arthroscopy, knee, surgical CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Jun 22, 2020 · Answer: No, the chondroplasty procedure is not reported separately when a medial meniscectomy is performed during knee surgery (eg, code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), Oct 1, 2015 · Report HCPCS code G0289 for arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee. ioa ncd urotd fnwx qvm ctolmt lnyi ayoj eokm ayngbm luangwx eeqiyq izta xpqnxg lrh