Coding for Arthroscopic Knee Surgery in ICD-10-PCS In ICD-10-PCS, arthroscopy goes to the root operation “inspection,” which is defined as visually and/or manually exploring a body part. Therefore, an arthroscopy of the right knee is classified to code 0SJC4ZZ, and arthroscopy of the left knee is classified to code 0SJD4ZZ.
27570 – Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) ICD-10 Codes for Osteoarthritis of the Knee ICD-10-CM Coding for Medical/Surgical Complications
ICD10 EZ‐Sheet for Knee Arthroplasty ICD10 BITK – S81.051 (R, +1 for L)* 1. OA of knee a. Bilateral primary – M17.0 b. Unilateral primary, R – M17.11 c. Bilateral, post‐trauma – M17.2 d. Unilateral post‐trauma, R – M17.31 e. Bilateral secondary – M17.4 f. …
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. This code is used for Medicare to report the procedure in that description,
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.
ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant.Aug 6, 2021
HCPCS code G0289 may be reported in addition to CPT® code 29880, Arthroscopy, knee, surgical; with meniscectomy (media AND lateral, including any meniscal shaving) or CPT® code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving)if performed in a separate compartment ...
Valid for SubmissionICD-10:Z96.651Short Description:Presence of right artificial knee jointLong Description:Presence of right artificial knee joint
Knee arthroscopy is a surgical procedure that allows doctors to view the knee joint without making a large incision (cut) through the skin and other soft tissues. Arthroscopy is used to diagnose and treat a wide range of knee problems.
Presence of artificial knee joint, bilateral Z96. 653 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 Z96. 653 became effective on October 1, 2021.
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.Jan 1, 2013
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.
By definition, 29880 reports meniscectomy in both the medial and lateral compartments, while 29881 defines a meniscectomy in either the medial or lateral compartment.Feb 1, 2016
Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap.
Article - Billing and Coding: Total Knee Arthroplasty (A57685)
M17.12M17. 12, unilateral primary osteoarthritis, left knee.Dec 11, 2020
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. This code is used for Medicare to report the procedure in that description, when performed in a separate compartment of the knee during the same operative session. It is not appropriate to use code 29877 even with a modifier.
Slippery and flexible, hyaline (articular) cartilage within the knee joint allows, has less friction than two pieces of glass placed together. This allows the joint to move with minimal friction in a healthy knee. There are two primary types of cartilage in the knee:
29888 – ACL Repair 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
“From a CPT® coding perspective, if debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then only code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving), should be reported. However, if debridement or shaving of articular cartilage is performed in one compartment of the knee and a meniscectomy is performed in a different compartment of the knee, then codes 29877, Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty), and 29881 should be reported.”
29876 for the extensive synovectomy is the only code reported. G0289 for the loose body is NOT CODED because the synovectomy was done in the same compartment as the loose body and therefore it was not in a separate compartment and is not to be coded.
Arthroscopy: Knee arthroscopy allows the physician to visualize the joint space of the knee using a fiberoptic en doscope. (An endoscope is basically a long tube with a lens at each end. Endoscopes used to visualize joint spaces are call arthroscopes). This Technology also allows the physician to perform arthroscopic surgery using.
procedure. Arthroscopic knee surgery usually involved at least two incisions. The first incision is made on the lateral side of the patellar incision-this is where the arthroscope is inserted. Additional incisions are made, one on the medial side of the patellar tendon and other as needed, for the insertion of surgical instruments.
An arthroscopy with a medial meniscectomy and shaving of the articular cartilage in the lateral compartment is performed on the left knee, commercial carrier. An arthroscopy with a medial meniscectomy and shaving of the articular cartilage in the lateral compartment is performed on the left knee, Medicare patient.
However, if debridement or shaving of articular cartilage is performed in one compartment of the knee and a meniscectomy is performed in a different compartment of the knee, then codes 29877, Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty), and 29881 should be reported.
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This article is being published to update the provider community on coverage for Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees. National Coverage Determination (NCD) 150.9 issued in 2004 describes Medicare coverage for Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.