6. 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).
“Code 73656 can be most challenging,” says Jandroep. Example: You may read that your radiologist obtained a standing AP view X-ray of the knee in addition to the oblique and lateral views, you do not report code 73565. You instead count the standing AP view as a third view and you report code 73562.
The knee is divided into three major compartments:
M94. 261 - Chondromalacia, right knee. ICD-10-CM.
Presence of artificial knee joint, bilateral The 2022 edition of ICD-10-CM Z96. 653 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.
Chondromalacia patellae, unspecified knee M22. 40 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 M22. 40 became effective on October 1, 2021.
M22. 4 - Chondromalacia patellae | ICD-10-CM.
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.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
A condition called patellofemoral (PF) chondrosis describes cartilage loss on the surface of the kneecap. 2 Another term for the condition is chondromalacia, and its severity is graded on a scale from one to four.
M25. 561 Pain in right knee - ICD-10-CM Diagnosis Codes.
M25. 562 Pain in left knee - ICD-10-CM Diagnosis Codes.
Chondromalacia patella (knee pain) is the softening and breakdown of the tissue (cartilage) on the underside of the kneecap (patella). Pain results when the knee and the thigh bone (femur) rub together. Dull, aching pain and/or a feeling of grinding when the knee is flexed may occur.
11 Unilateral primary osteoarthritis, right knee.
The patella is found in a groove n the femur called the trochlea. Damage to the articular cartilage in this area is known as, PF Chondrosis. PF Chondrosis can occur due to trauma such as a direct impact to the front of the knee or overuse.
Total knee replacement is classified to code 81.54 and involves replacing the articular surfaces of the femoral condyles, tibial plateau, and patella.
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.
Bilateral primary osteoarthritis of knee M17. 0 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 M17. 0 became effective on October 1, 2021.
M25. 561 Pain in right knee - ICD-10-CM Diagnosis Codes.
In medicine, chondropathy refers to a disease of the cartilage. It is frequently divided into 5 grades, with 0-2 defined as normal, and 3-4 defined as diseased.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code M94.261 and a single ICD9 code, 733.92 is an approximate match for comparison and conversion purposes.
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:
“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.