icd 10 code for right knee arthroscopy with partial medial and lateral meniscectomies

by Gregg McCullough PhD 4 min read

What is the ICD-10 code for right knee arthroscopy?

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.

What is the ICD-10 code for right knee medial meniscal tear?

S83. 241 - Other tear of medial meniscus, current injury, right knee. ICD-10-CM.

What is the ICD-10 code for status post arthroscopy?

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.

What is arthroscopic partial lateral meniscectomy?

Partial meniscectomy is a minimally invasive outpatient procedure in which an arthroscope and fine arthroscopic instruments are used to resect portions of a symptomatic, torn meniscus. There are multiple types of tear patterns, but regardless, only the unstable torn sections are removed.

What is the ICD 10 code for medial meniscal tear left knee?

ICD-10-CM Code for Other tear of medial meniscus, current injury, left knee, initial encounter S83. 242A.

What is the ICD-10 for meniscus tear?

Tear of unspecified meniscus, current injury ICD-10-CM S83. 207A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):

What is the ICD-10 code for knee surgery?

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.

What is the CPT code for arthroscopy knee?

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.

When do you use ICD-10 code Z98 890?

ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is a meniscectomy of medial and lateral?

The Medial and Lateral Meniscectomy are crescent-shaped bands of thick, rubbery cartilage attached to the shinbone (tibia). They act as shock absorbers and stabilize the knee. Meniscus tears can vary widely in size and severity.

What is knee arthroscopy Meniscectomy?

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.

What is the CPT code for left knee arthroscopic partial medial meniscectomy?

Example 1—The surgeon performs and documents arthroscopic left lateral meniscectomy and arthroscopic tricompartmental chondroplasty and reports CPT code 29881.

How long does it take to recover from a partial meniscectomy?

If you had a partial meniscectomy, you might be able to play sports in about 4 to 6 weeks. If you had meniscus repair, it may be 3 to 6 months before you can play sports. This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace.

What happens during a partial meniscectomy?

Partial meniscectomy is a surgical procedure used to treat meniscal tears. It involves removing as little of the damaged part of the meniscus as possible in order to smooth the edges of the tear and avoid any fraying which can cause further issues.

How long does it take to recover from a meniscectomy?

Arthroscopic surgery for a torn meniscus (meniscectomy) It may take 4-5 months for full healing. The patient should be able to bear weight on the knee while standing or walking, immediately after surgery. Crutches will be necessary for 2-7 days after surgery.

How long does a partial meniscectomy take?

Arthroscopic partial meniscectomy normally takes about between 20 and 40 minutes to perform, and usually you will be able to leave the hospital the same day. General anesthesia is typically used for this type of surgery, though in some cases a spinal or epidural anesthetic is used.

Which knee is a medial meniscectomy?

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.

What is the purpose of a knee arthroscopy?

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.

How many incisions are needed for knee surgery?

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.

What is the code for shaving of articular cartilage?

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.

How to treat meniscus tear?

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.

What are the compartments of 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.

What is 29881 knee surgery?

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.

What is the Medicare code for a loose body?

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.”.

What is a diagnostic arthroscopy?

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.

What is the compartment of the patellofemoral joint?

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.

Can you report chondroplasty with meniscal repair?

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.

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