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?
What Is a Knee Arthroscopy? Arthroscopy of the knee is a minimally invasive procedure that is conducted using only small incisions. It is one of the most commonly utilized procedures for diagnosing and treating knee injuries. The knee is a complex joint and made up of a number of smaller structures that are vulnerable to injury.
What is the CPT code for a total knee arthroplasty?
via CPT/HCPCS coding mechanisms. Arthroplasty 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) J1 5115 J8 Pre-Operative Scans/Radiology 73552 Radiologic examination, femur; minimum 2 views Q1 5521 N1 73590 Radiologic examination; tibia and fibula, 2 views Q1 5521 N1
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.
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.
What is included in CPT code 29881?
CPT® Code 29881 in section: Arthroscopy, knee, surgical.
What is the CPT code for knee surgery?
Total Knee ArthroplastyCodeDescription27445ARTHROPLASTY, KNEE, HINGE PROSTHESIS (EG, WALLDIUS TYPE)27447ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)27486REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT1 more row
What is the CPT codes for arthroscopic medial and lateral 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.
What is an arthroscopy procedure?
Overview. Arthroscopy (ahr-THROS-kuh-pee) is a procedure for diagnosing and treating joint problems. A surgeon inserts a narrow tube attached to a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a high-definition video monitor.
What is the anesthesia code for a surgical arthroscopy of the knee?
Per the ASA CROSSWALK®, the anesthesia care may be best described with anesthesia CPT code 01402 - Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty.
What is included in CPT code 20610?
CPT® 20610 describes aspiration (removal of fluid) from, or injection into, a major joint (defined as a shoulder, hip, knee, or subacromial bursa), or both aspiration and injection of the same joint. The procedure may be performed for diagnostic analysis and/or to relieve pain and swelling in the joint.
What does CPT code 20610 mean?
20610-20611. 20610 Arthrocentesis, aspiration and/or. injection, major joint or bursa (eg, shoulder, hip, knee, subacromial. bursa); without ultrasound guidance.
What is the difference between CPT code 27130 and 27132?
Current Procedural Terminology (CPT) codes For this study, CPT 27130 was used to identify primary THA, while CPT 27132 was used to identify conversion THA.
Which of the following is the correct CPT code and CPT index entry for arthroscopic medial meniscectomy?
If meniscectomy is performed on both compartments, CPT code 29880 is assigned.
What is included in CPT 29888?
CPT Code: 29888 Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after anterior cruciate ligament injury.
Can CPT code 29881 and 29882 be billed together?
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. CPT, AAOS, and NCCI consider the compartments of the knee to be distinct anatomic structures.
Can CPT codes 29888 and 29881 be billed together?
According to the CCI edits 29888 (primary procedure) can be billed with 29881.
Can CPT codes 29881 and 29879 be billed together?
Per CCI Edits, 29879 and 29881 can be billed together even if they were performed within the same compartment. However, do not confuse 29879 with 29877, which will more than likely always bundle with a primary procedure performed within the same compartment.
What is the CPT code for rotator cuff repair?
Use code 23410 for repair of an acute rupture of the rotator cuff and code 23412 for repair of a chronic rotator cuff injury.
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 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.
