icd 10 code for status post right knee arthroscopy, lateral meniscectomy and chondroplasty.

by Prof. Colleen McKenzie MD 8 min read

33.

Full Answer

What is the ICD 10 code for deformity of the knee?

M23.306 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 M23.306 became effective on October 1, 2021. This is the American ICD-10-CM version of M23.306 - other international versions of ICD-10 M23.306 may differ. deformity of knee ( M21.-)

What is the CPT code for arthroscopy with meniscus surgery?

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. Example:

What is the ICD 10 code for meniscus derangement?

M23.306 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Other meniscus derangements, unsp meniscus, right knee The 2020 edition of ICD-10-CM M23.306 became effective on October 1,...

What is the ICD 10 code for presence of right artificial knee?

Presence of right artificial knee joint. Z96.651 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z96.651 became effective on October 1, 2018.

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What is the ICD-10 code for meniscectomy?

241A.

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 ICD-10 code z96651?

Presence of right artificial knee jointZ96. 651 - Presence of right artificial knee joint | ICD-10-CM.

What is the ICD-10 code for knee surgery?

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.

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.

Is chondroplasty included in Meniscectomy?

The chondroplasty is inclusive and not separately reportable even though the procedure is performed in two separate compartments. G0289 may not be reported for the other two compartments because CPT rules state the chondroplasty is inclusive to the meniscectomy code(s).

What is right total knee arthroplasty?

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.

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

M25. 561 Pain in right knee - ICD-10-CM Diagnosis Codes.

What is the CPT code for right total knee arthroplasty?

Article - Billing and Coding: Total Knee Arthroplasty (A57685)

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

ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.

What is a meniscectomy?

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.

What is Chondroplasty of the medial femoral condyle?

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.

What is the ICd 9 code for arthroscopy?

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).

What is the code for a ruptured meniscus?

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.

What is the fifth character of an arthroscopy?

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.

How is an arthroscopy performed?

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.

What is the fifth digit of a ligament?

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.

Can you code a surgical approach?

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 ...

What is the code for a meniscectomy?

“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.”

What is the HCPCS code for knee surgery?

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.

What type of cartilage is used in the 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:

Is G0289 a synovectomy?

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.

What is the CPT code for meniscectomy?

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. Both codes include debridement/shaving of articular cartilage (chondroplasty), in the same compartment or separate compartments of the same knee.

What is 29880 knee surgery?

29880 Arthroscopy, knee, surgical with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment (s), when performed

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 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.

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 the code for arthroscopy of the knee?

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 patient’s 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 at modifier.

What is the CPT code for a meniscectomy?

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. (CPT® Assistant April 2005; page 14)

What is the code for a meniscal shaving?

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 C PT® code 29881 , Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving)if performed in a separate compartment.

What is the code for resection of synovium and/or plica?

Note: Involves resection of synovium and/or plica from two or more compartment. The code 29876 can be assigned in addition to 29881

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.

When both a diagnostic and surgical arthroscopy is performed, is the diagnostic arthroscopy an inclusive component?

When both a diagnostic and surgical arthroscopy is performed, the diagnostic arthroscopy is an inclusive component of the surgical arthroscopy and would not be reported separately. (CPT® Assistant August 2001; page 5)

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.

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