2019 ICD-10-CM Diagnosis Code Z53.33 Arthroscopic surgical procedure converted to open procedure 2017 - New Code Billable/Specific Code POA Exempt Present On Admission Z53.33 is considered exempt from POA reporting.
ICD-10-CM Diagnosis Code M94.261 [convert to ICD-9-CM] Chondromalacia, right knee. Chondromalacia of bilateral knees; Chondromalacia of right knee; Chondromalacia of right patella; Chondromalacia of right patella (kneecap) ICD-10-CM Diagnosis Code M94.261. Chondromalacia, right knee.
· Arthroscopic surgical procedure converted to open procedure 2017 - New Code 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt 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.
· The proper code for the surgery is 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty). In my case 0SRC0J9 Replacement of right knee joint with synthetic substitute, cemented, open approach is the appropriate code. Does Aetna cover knee replacement?
Ankylosis of bilateral knees; Ankylosis of right knee; Ankylosis of right knee joint; Arthrofibrosis of bilateral knees; Arthrofibrosis of right knee ICD …
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.
According to CPT, code 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage [chondroplasty]) should be reported to indicate the performance of an arthroscopic chondroplasty in the medial, lateral, and/or patellofemoral compartment(s).
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.
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.
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.
Tear of meniscus, current injury ICD-10-CM S83. 241A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
ICD-10 | Pain in right knee (M25. 561)
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
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.
CPT® code 29880 reports a meniscectomy in both the medial and lateral compartments, while CPT® code 29881 indicates a meniscectomy in either the medial or lateral compartment.
CPT 29879, arthroscopy knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture.
If performed on different knee, use them together will appropriate modifier. Do not use CPT code 29877 with CPT code 29881 and 29880 if performed on same knee.
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.
CPT code 29881 is reportable when the physician accomplishes only a single arthroscopic procedure for each compartment in the knee. This code also includes a meniscectomy for the lateral or medial compartment. Surgical arthroscopy always includes a diagnostic arthroscopy of the same joint.
Effective September 1, 2021, Healthfirst will no longer reimburse Arthroplasty of knee with abrasion (29879) when billed with Arthroscopy of knee with meniscectomy (29880-29881).
The DWC finds per NCCI edits, CPT code 29874 is a component of CPT code 29881 and a modifier is not allowed to differentiate the service; therefore, the respondent's denial of payment based upon unbundling is supported.
Arthroscopy is classified to ICD-9-CM subcategory 80.2. A fourth digit is required to identify the joint being scoped. A code from this subcategory is assigned when it is the only procedure performed (eg, diagnostic procedure). If a more definitive procedure is done at the same time, a code for the arthroscopic approach is not assigned. According to Coding Clinic, surgical approaches (eg, scopes) are not coded if a more definitive procedure is performed. Therefore, if a procedure was done via a scope, assign a code for the procedure (open) performed until specific codes for the arthroscopic approach are created, but do not assign a separate code for the scope ( AHA Coding Clinic for ICD-9-CM, 1993, first quarter, page 23).
Ruptured or detached meniscus goes to the same codes for tear of meniscus except that recurrent detachment of meniscus is classified to code 718.36, Recurrent dislocation of joint, lower leg.
A fifth digit is required to identify the ligament involved. Tearing of knee cartilage or meniscus: The wedge-shaped pieces of cartilage in the knee joint are called meniscus and act as shock absorbers. They can tear in different ways and are classified by how they look and where the tear occurs.
Sprain: This occurs when one or more ligaments in the knee is suddenly stretched or torn. There are four knee ligaments: anterior cruciate, posterior cruciate, medial collateral, and lateral collateral.
The fifth character identifies the approach. Arthroscopy would be considered percutaneous endoscopic, which is defined as entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure.
Arthroscopy is a minimally invasive procedure performed through a small incision by inserting a small camera hooked to a television monitor. It provides a clear view inside the joint so the surgeon can definitively diagnose the condition. Treatment can also occur through the arthroscope by creating additional small incisions and inserting instruments such as scissors, shavers, or lasers. Almost all arthoscopic procedures are done on an outpatient basis.
According to Coding Clinic, surgical approaches (eg, scopes) are not coded if a more definitive procedure is performed. Therefore, if a procedure was done via a scope, assign a code for the procedure ...
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.