Full Answer
Arthroscopy codes 29877 and G0289 may never be reported with meniscectomy codes 29880 or 29881 for the same knee because the chondroplasty is inclusive to their definitions. As is true when reporting chondroplasty, CPT® and Medicare have different reporting requirements to report arthroscopic removal of loose or foreign bodies.
S83.249A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth tear of medial meniscus, current injury, unsp knee, init.
Although knee arthroscopy is common, coding these surgical procedures can be complicated. Payment for knee arthroscopy hinges on proper coding, and proper coding relies on your knowledge of the code definitions and the differences between CPT® and Medicare guidelines.
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.
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.
241A.
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.
An arthroscopic meniscectomy is a procedure to remove some or all of a meniscus from the tibio-femoral joint of the knee using arthroscopic (keyhole) surgery. The procedure can be a complete meniscectomy where the meniscus and the meniscal rim is removed or partial where only a section of the meniscus is removed.
Example 1—The surgeon performs and documents arthroscopic left lateral meniscectomy and arthroscopic tricompartmental chondroplasty and reports CPT code 29881.
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.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
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.
Partial medial meniscectomy is an effective form of management for symptomatic medial meniscus tears and tears involving the posterior root with minimal to no degenerative joint disease, joint space narrowing, and preserved joint alignment.
Partial Medial/Lateral Meniscectomy. Page 1. Partial Medial/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.
Often a meniscus tear occurs with an injury to the ACL ligament. In this case, the surgery will repair the ligament and the meniscus. A meniscectomy is an arthroscopic procedure that removes the meniscus or trims the damaged meniscus tissue (also called a debridement).
Other tear of medial meniscus, current injury, unspecified knee, initial encounter 1 S83.249A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 #N#Short description: Oth tear of medial meniscus, current injury, unsp knee, init#N#The 2021 edition of ICD-10-CM S83.249A became effective on October 1, 2020.#N#This is the American ICD-10-CM version of S83.249A - other international versions of ICD-10 S83.249A may differ.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
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.
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.
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.