Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Orthopaedics
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 10-17-2010, 06:28 PM
BFAITHFUL BFAITHFUL is offline
Expert
 
Join Date: Apr 2007
Posts: 430
BFAITHFUL is on a distinguished road
Default loose body removal included?

Is an arthroscopic loose body removal & debridement 29874/29877 included in CPT 27422?

diagnosis are dislocated patella with osteochondral loose body and a medial femoral patella ligament tear, with fragment coming off the medial patella.


" before reconstruction, the patient had an arthroscopy with a removal of loose body and a debridemtn to the bed of the osteochondral fragment loss as well as some of the synovium and fat pad anteriorly"


Thank you
Reply With Quote
  #2  
Old 10-18-2010, 12:32 PM
Bella Cullen Bella Cullen is offline
True Blue
 
Join Date: Apr 2007
Posts: 500
Bella Cullen is on a distinguished road
Default

Quote:
Originally Posted by BFAITHFUL View Post
Is an arthroscopic loose body removal & debridement 29874/29877 included in CPT 27422?

diagnosis are dislocated patella with osteochondral loose body and a medial femoral patella ligament tear, with fragment coming off the medial patella.


" before reconstruction, the patient had an arthroscopy with a removal of loose body and a debridemtn to the bed of the osteochondral fragment loss as well as some of the synovium and fat pad anteriorly"


Thank you
Since doc did the loose body removal and debridement arthroscopically first then I would say Yes you can bill for that separate but my suggestion is billing the removal of loose body only, not 29874 and 29877.
Then, since the open procedure is totally different than the arthroscopic one, you can bill 27422 also. If it was all done open then I would say 27422 ONLY because the other procedures are inclusive if all done open.
Reply With Quote
  #3  
Old 10-19-2010, 12:07 PM
BFAITHFUL BFAITHFUL is offline
Expert
 
Join Date: Apr 2007
Posts: 430
BFAITHFUL is on a distinguished road
Default

Thank you... that makes sense!!
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 12:52 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC