Arthroscopy Codes and Descriptions
| Code | Description |
| 29866 | Arthroscopy, knee, surgical; osteochondr ... |
| 29867 | Arthroscopy, knee, surgical; osteochondr ... |
| 29868 | Arthroscopy, knee, surgical; meniscal .. ... |
| 29870 | Arthroscopy, knee, diagnostic, with or w ... |
How to pronounce knee arthroscopy?
Risks of Knee Arthroscopy
- The Surgical Procedure. A knee arthroscopy surgical procedure is performed as an outpatient. ...
- Common Risks. The overall risk of complications associated with knee arthroscopy has been estimated to be approximately 5 percent. ...
- Less Common Risks. ...
- Avoiding Complications. ...
Is arthroscopic knee surgery worth it?
While knee arthroscopy is a very safe procedure, it carries more risk than the other options. The study discussed in The New York Time reinforces the idea that, for degenerative meniscus tears, surgery should be the last resort. For most patients with knee pain, x-rays should be cheap nba jerseys the first study ordered.
What is a knee arthroscopy, and how is it performed?
Knee arthroscopy — sometimes called knee scoping — is a minimally invasive medical procedure used on the knee joint to diagnose and treat knee conditions or injuries. It’s performed using an arthroscope, which is a tiny surgical instrument with a light and camera at the end that is inserted into the knee.
What is the CPT code for a total knee arthroplasty?
synonyms: total knee replacement, TKA, artificial knee, total knee arthroplasty. TKA CPT. 27447 20985 27348; 27446; 27486; 27487; 27488 Knee Arthroplasty Applicable ICD-10 Codes. M17.0 - Bilateral primary osteoarthritis of knee; M17.10 - Unilateral primary osteoarthritis, unspecified knee; M17.11 - Unilateral primary osteoarthritis, right knee
What is the difference between CPT code 29881 and 29882?
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.May 1, 2012
What is the difference between CPT code 29880 and 29881?
By definition, 29880 reports meniscectomy in both the medial and lateral compartments, while 29881 defines a meniscectomy in either the medial or lateral compartment.Feb 1, 2016
What is the difference between 29877 and 29879?
Code 29879 includes chondroplasty performed as part of the abrasion arthroplasty, so code 29877 should not be separately reported. If, however, chondroplasty is performed in a separate knee compartment, code 29877 may be reported separately.
What is ICD 10 code for 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. The fifth character identifies the approach.Feb 13, 2012
What does CPT code 29880 mean?
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.Feb 22, 2020
Can CPT code 29874 and 29881 be billed together?
Q: Based on CPT Assistant, CPT code 29874 (knee arthroscopy with removal of loose/foreign body) may be reported with modifier -59 (distinct procedural service) if performed in a separate compartment from procedures 29875-29881.Jun 19, 2017
Can CPT code 29877 and 29875 be billed together?
CPT codes 29874, 29875, 29876 or 29877 will not be considered for additional reimbursement when performed on the same date as, or in conjunction with, one of the primary procedure codes listed above even when appended with Modifier 59.Dec 29, 2014
Can CPT codes 29881 and 29882 be billed together?
Can I bill for a medial meniscus repair and a lateral meniscus meniscectomy done on the same knee? I see CMS has an NCCI edit between the two codes, 29881 and 29882. Answer: Yes, you may report both codes and append modifier 59 to indicate the procedures were performed on different anatomic sites.Mar 5, 2020
What is included in CPT code 29888?
A surgeon performs an anterior cruciate ligament (ACL) repair (29888), a lateral meniscectomy (29881), and a synovectomy (29876) in the patella and medial compartments. When coding arthroscopic knee procedures, understanding the anatomy of the knee and how CPT coding rules relate to this anatomy is important.
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.Aug 6, 2021
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 a scope knee surgery?
Knee arthroscopy is a surgical procedure that allows doctors to view the knee joint without making a large incision (cut) through the skin and other soft tissues. Arthroscopy is used to diagnose and treat a wide range of knee problems.
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 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.
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 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 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 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 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 29880 coded for?
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.
What is ACL repair?
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
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 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.
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 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.
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.
What is 29880 knee?
29880 - Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 - Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) Note: Some times a physician may indicate he did a meniscus repair when he really meant a meniscectomy.
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 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.
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.
