Current left knee lateral meniscus tear Current tear of lateral meniscus of left knee ICD-10-CM S83.282A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
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.
M23.301 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth meniscus derangements, unsp lateral meniscus, left knee The 2021 edition of ICD-10-CM M23.301 became effective on October 1, 2020.
M23.301 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 M23.301 became effective on October 1, 2021. This is the American ICD-10-CM version of M23.301 - other international versions of ICD-10 M23.301 may differ. deformity of knee ( M21.-)
33 - Arthroscopic surgical procedure converted to open procedure. Z53. 33 - Arthroscopic surgical procedure converted to open procedure is a topic covered in the ICD-10-CM.
S83. 281A - Other tear of lateral meniscus, current injury, right knee [initial encounter] | ICD-10-CM.
S83. 242A - Other tear of medial meniscus, current injury, left knee [initial encounter] | ICD-10-CM.
S83. 241 - Other tear of medial meniscus, current injury, right knee. ICD-10-CM.
Other tear of lateral meniscus, current injury, unspecified knee, initial encounter. S83. 289A 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 S83.
242A for Other tear of medial meniscus, current injury, left knee, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Example 1—The surgeon performs and documents arthroscopic left lateral meniscectomy and arthroscopic tricompartmental chondroplasty and reports CPT code 29881.
Other tear of medial meniscus, current injury, left knee, initial encounter. S83. 242A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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.
A medial meniscus tear is more common than a lateral meniscus tear, because it is firmly attached to the deep medial collateral ligament and the joint capsule. In addition, the medial meniscus absorbs up to 50% of the shock of the medial compartment, making the medial meniscus susceptible to injury.
ICD-10-CM Diagnosis Codes. S83.241A - Other tear of medial meniscus, current injury, right knee, initial encounter.
Overview. Arthroscopic meniscectomy is an outpatient minimally invasive surgical procedure used to treat a torn meniscus cartilage in the knee. The meniscus is often torn as a result of sport-related injury in athletic individuals. Only the torn segment of the meniscus is removed.
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.
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.
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.
“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.”
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.
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
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:
29880 Arthroscopy medial and lateral meniscectomy G0289 for the Arthroscopic removal of a loose body in a separate compartment 29880 is coded for the medial AND lateral meniscectomy Since the loose body removal was done in a separate compartment (patellofemoral), the G0289 is coded.
Most surgeons treat meniscus tears with arthroscopic surgery, which involves inserting a thin, flexible fiber-optic device into a small incision in the knee. The surgeon then maneuvers tools through the arthroscope or additional incisions in the knee.
Three compartments comprise the knee: medial, lateral, and patellofemoral. The medial compartment includes the medial femoral condyle, medial tibial plateau, and medial meniscus. The lateral compartment consists of the lateral femoral condyle, lateral tibial plateau, and lateral meniscus. And the patellofemoral compartment includes the patella, patellofemoral joint, intercondylar femoral notch, suprapatellar pouch, and the trochlea.
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. During a meniscectomy, the surgeon removes a piece of the torn meniscus or the entire meniscus.
Medicare reinforces its definition of G0289 in Chapter IV of the NCCI guidelines: “HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.”.
Diagnostic arthroscopies are used to examine and diagnose problems in the knee joint; surgical arthroscopies are used to treat diseased or damaged areas such as torn menisci, chondromalacia, or inflamed synovium.
And the patellofemoral compartment includes the patella, patellofemoral joint, intercondylar femoral notch, suprapatellar pouch, and the trochlea. The meniscus is a c-shaped piece of cartilage between the tibia and femur, which absorbs shock, provides a cushion between the bones, and keeps the knee stable.
Although the National Correct Coding Initiative (NCCI) bundles 29877 Arthroscopy, knee, surgical debridement/shaving of articular cartilage (chondroplasty) and the meniscal repair codes, with a “0” modifier indicator, which typically means you cannot separately report the codes under any circumstance, Medicare allows providers to separately report chondroplasty with meniscal repairs if performed in a different compartment of the same knee. Medicare instructs coders to use 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. Do not separately report chondroplasty if another surgery is performed in the same compartment.