Arthroscopic surgical procedure converted to open procedure Z53. 33 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z53. 33 became effective on October 1, 2021.
Arthroscopic removal of a loose/ or foreign body is reported using CPT code for 29874.
Coding for Arthroscopic Knee Surgery in ICD-10-PCS Therefore, an arthroscopy of the right knee is classified to code 0SJC4ZZ, and arthroscopy of the left knee is classified to code 0SJD4ZZ.
CPT® Code 29870 in section: Endoscopy/Arthroscopy Procedures on the Musculoskeletal System.
Arthroscopic lysis of adhesions is a less invasive surgical procedure that can be used to address both focal and diffuse arthrofibrosis.5 Adhesions typically form between the capsule and femoral condyles, as well as in the anterior interval, the infrapatellar fat pad, and the pretibial recess.
Modifier 59 is appended to CPT code 29881 to indicate a distinct separate procedure in a different anatomic location (lateral repair vs medial meniscectomy). Although CPT code 29882 does not bundle the chondroplasty, CPT code 29881 precludes the reporting of the chondroplasty in the patellofemoral compartment.
ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant. ICD-10: R26.
ICD-10 code Z47. 89 for Encounter for other orthopedic aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Knee arthroscopy is surgery that uses a tiny camera to look inside your knee. Small cuts are made to insert the camera and small surgical tools into your knee for the procedure. Knee arthroscopy is surgery that is done to check for problems, using a tiny camera to see inside your knee.
CPT code 29876 describes a major synovectomy and may be reported in two or more compartments when performed. This is where the coding becomes a bit confusing. Surgeons commonly perform a synovectomy in addition to other procedures to “clean up” the joint while performing more extensive surgery.
CPT 29879, arthroscopy knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture.
CPT codes 29874, 29875, 29876 or 29877 will not be considered for additional reimbursement when performed on the same date as, or in conjunction with, one of the primary procedure codes listed above even when appended with Modifier 59.
Consequently, the procedure that was performed does not fit the description of an existing specific CPT code and would instead be reported with code 27599, Unlisted procedure, femur or knee.
One last thought, it won't be an Unlisted Arthroscopy. He did after the the scope was done. It will be a regular code for the artho menisectomy, and then whatever we come up with for the injection is as an addtional procedure.