Can CPT code 29879 and 29880 be billed together?

Can CPT code 29879 and 29880 be billed together?

As of this writing, CPT 29879 — Arthroscopy knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture — when adequately described within the operative report may still be reported in addition to the 29880 or 29881 procedures.

Can CPT code 29874 be billed with 29880?

For Medicare patients, the major arthroscopic knee procedures are assign with standard arthroscopy codes (29870-29887). Hence, CMS will not allow coding CPT code 29874 and 29877 along with other major arthroscopic procedures CPT code 29881 or 29880 on same knee and same compartment.

Can 29880 and 29876 be billed together?

29876 is a column 2 code to 29880. According to the NCCI manual, you cannot bill 29876 with 29880 due to the three-compartment rule. Also, 29875 cannot be billed with 29880 because of the (separate procedure) designation on 29875.

Is synovectomy included in Meniscectomy?

Although this is technically a two-compartment synovectomy, the medial synovectomy is included in the code for the medial meniscectomy. Therefore, only a single compartment synovectomy (29875) can be reported.

How do you code a knee arthroscopy?

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.

What is abrasion arthroplasty?

Arthroscopic abrasion arthroplasty is one such procedure that your physician may use to restore knee articular lining by rasping damaged areas to promote bleeding, and formation of fibrocartilage, or scar tissue, which covers the damaged area.

Is Chondroplasty included in Meniscectomy?

A Chondroplasty is NEVER coded with a meniscectomy regardless of the compartment. The meniscectomy includes the synovectomy in the code description. The synovectomy is global to the 29880 and should only be reported if done in two different departments from the meniscectomy.

Is G0289 for Medicare only?

Tip: Remember G0289 is an add-on code and cannot be used alone, a Medicare coding and billing requirement. Always review the operative report carefully. Don’t assume the physician has listed all reportable procedures in the statement of the operation performed.

What’s the difference between code 29880 and 29876?

Code 29880 was performed in two compartments. Based upon the code description for code 29876 the procedure has to be performed on 2 or more compartments to be billed. Because code 29880 was performed in the same compartments as 29876, the documentation does not support billing code 29876 with modifier 59.

When to use 29870, 29871, 29875, 29884?

If 29870, 29871, 29875 or 29884 is performed on one knee and 29881 is performed on the opposite knee, either append modifier 59 to 29870, 29871, 29875 or 29884; or append the appropriate LT or RT modifier on 29870, 29871, 29875 or 29884 and the opposite LT/RT side modifier on 29881.

Is there a modifier 59 between 29882 and 29883?

There is no procedure-to-procedure edit between 29882 or 29883 and G0289. It’s not correct to apply modifier 59 to Medicare claims with these codes. Medicare assumes that G0289 represents the arthroscopic removal of a loose body or foreign body in a different compartment.

Is the meniscectomy global to the 29880?

compartment. The meniscectomy includes the synovectomy in the code description. • The synovectomy is global to the 29880 and should only be reported if done in two different departments from the meniscectomy. In this case, the meniscectomy was performed in 2 out of the 3 compartments so that would be possible because are only 3 compartments.