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what is medicare medical code 29877

by Imani Russel Published 2 years ago Updated 1 year ago
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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.

Full Answer

What is the CPT code for left knee pain?

The code M25.562 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code M25.562 might also be used to specify conditions or terms like bilateral knee pain, pain in left knee or pain in right knee.

What is CPT procedure?

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What is the CPT code for arthroscopic medial meniscus repair?

by Medical Billing. CPT code and description. 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), when performed average fee amount – $540 – $600. 29871 – ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE.

What is the CPT code for billing?

CPT Codes stands for Current Procedure Terminology Codes and all these codes are used to describe medical services and procedures, tests, surgeries, etc, performed by a health professional or doctor on a patient. The list of CPT codes in medical billing is updated as per the guidance of the American Medical Association.

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Can 29877 be billed alone?

Chondroplasty – Points to note: Chondroplasty (29877 or G0289) may be separately reported with meniscal repair codes 29882 and 29883 when performed in a separate compartment, as long as another reportable service is not performed there.

Does CPT code 29877 need a modifier?

Both code 29877 and 29874 have a “0” modifier, indicating these procedures are inclusive to CPT code 29881 and may not be overridden with a modifier.

Can CPT 29875 and 29877 be billed together?

you would never bill the 29877 with the 29875 for Medicare. If the documentation supports a seperate compartment then you would need to change it to G0289.

What is CPT code for loose body removal knee?

CPT codes 29874 (Surgical knee arthroscopy for removal of loose body or foreign body) and 29877 (Surgical knee arthroscopy for debridement/shaving of articular cartilage) should not be reported with other knee arthroscopy codes (29866-29889).

Can CPT codes 29881 and 29877 be billed together?

CPT code 29877 is included with CPT code 29881 and 29880 when performed on same knee. However, if the procedures are performed on different knee, for example Chondroplasty is performed on left knee and meniscectomy is performed on right knee in such cases we can code them together using 59 modifier.

What is partial medial and lateral meniscectomy?

Partial Medial/Lateral Meniscectomy. Page 1. Partial Medial/Lateral. Meniscectomy. Partial meniscectomy is a minimally invasive outpatient procedure in which an arthroscope and fine arthroscopic instruments are used to resect portions of a symptomatic, torn meniscus.

What is the CPT code for rotator cuff repair?

CPT 29827When a surgeon performs an arthroscopic rotator cuff repair, report CPT 29827 regardless of whether the condition is acute versus chronic. The operative report should specify an acute versus chronic condition.

What is chondroplasty of the medial femoral condyle?

A chondroplasty is an outpatient procedure used to repair a small area of damaged cartilage in the knee. The damaged tissue is removed, allowing healthy cartilage to grow in its place. The procedure is performed through small incisions on the sides of the knee with the aid of a small video camera called an arthroscope.

What is arthrotomy of the knee joint?

An arthrotomy is a surgical exploration of a joint, which should include inspection of the cartilage, intra-articular structures, joint capsule, and ligaments.

Should loose bodies in knee be removed?

If left untreated, loose bodies within the knee may cause further damage to the surrounding tissues. If a patient has knee pain, the patient should see an orthopedic knee surgeon. Even if the patient does not think that they have a serious issue, they should seek medical attention in order to rule anything out.

What is the CPT code for knee arthroscopy?

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.

What is the CPT code for meniscal repair?

CPT® code 29883 reports a meniscus repair in both the medial and lateral compartments, while CPT® code 29882 reports a meniscus repair in either the medial or lateral compartment. Chondroplasty may be separately reported when performed in a separate compartment of the same knee as the meniscus repair.

What is CPT code 29877?

The surgeon appends modifier 59 to CPT code 29877 to indicate that a distinct separate procedure was performed in a different anatomic location ( chondroplasty in the medial and patellofemoral compartments). CPT code 29882 does not include the chondroplasty as bundled.

What is 29880 in medical terms?

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

What is the HCPCS code for knee surgery?

Report HCPCS code G0289 per compartment to Medicare or private payers that require this code if arthroscopic knee procedures other than a meniscectomy are performed at the same operative session, same knee. G0289 must be performed in a different compartment, but may be reported more than one time if no surgery is performed in that compartment. Do not report G0289 if meniscectomy procedures were performed (eg, medial and/or lateral meniscal surgery).

What is the code for a right lateral meniscal repair?

In this scenario, based on Medicare payment rules and instructions for G0289 , the surgeon may report the meniscal repair code (29882) and two (2) units of HCPCS code G0289 for the chondroplasty in the medial and patellofemoral components. The format for reporting this code combination depends on the payer’s rules.

What is 29881 knee?

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), when performed

What is the CPT code for chondroplasty?

The definition of a chondroplasty, reported with CPT code 29877 (“Arthroscopy, knee, surgical; debridement/shaving of articular cartilage [chondroplasty]”), did not change in 2012. What did change is the guideline instruction referring the physician and coding staff to CPT code 29880 and 29881 when a chondroplasty is performed with a meniscectomy (29880 or 29881). So, the ultimate change for 2012 is not with the chondroplasty CPT code but with the meniscectomy CPT codes.

What is the code for a right medial meniscectomy?

Example 3— The surgeon performs a right medial meniscectomy, lateral meniscal repair and tricompartmental chondroplasty and reports codes 29882 and 29881-59.

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