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CPT® 20985, Under Other Procedures on the Musculoskeletal System

The Current Procedural Terminology (CPT®) code 20985 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Musculoskeletal System.

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Summary

A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a three–dimensional digital image of the patient’s anatomy. With the use of a CANS, the provider makes more accurate measurements, ensuring better fitting surgical components, with faster healing and less postoperative pain for patients. An imageless CANS does not require the use of preoperative imaging studies, such as computed tomography, or CT scanning.

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Have a question about CPT Code 20985 ? Start a discussion here
Medicaid Denial? help
Do you have an anatomical modifier on CPT 27130? If this is a physician claim make sure modifier 51/59 is on 20985 depending on documentation.... [ Read More ]
Medicaid Denial? help
Code 20985 is coming back from Superior Medicaid denying for missing HCPCS modifier. Would anyone know what that might be? Primary code is 27130 and secondary is 20985... help is appreciated. Thank yo... [ Read More ]
Charging Medicare patients for 20985 and 0054T
I have orthopedic surgeons collecting 300-500 dollars from Medicare and commercial payer patients for 20985 and 0054T because they are non-covered services per Medicare. In reading the descriptions of... [ Read More ]
ROSA (Robotic Assisted Surgery) Question
Our physicians have started using the ROSA Knee System when doing total knees. I was wondering if you can you bill a 20985 with 27447. I know the facility where they are performing these is billing ... [ Read More ]
MAKOPLASTY
Hi, my physician will start using robotic assistance for total and partial knee arthroplasty surgeries. I am trying to find current billing protocol in regard to code 20985. Is anyone billing this cod... [ Read More ]
ASC Coding - Cat III Codes - Computer-Assisted Musculoskeletal - Help
Can you code 0054T or 0055T at an ASC? One of our orthopedic surgeons charged for them at their office, along with the main procedure code 27130 for a total hip, and got paid, but I don't see this cod... [ Read More ]
ASC Coding - Cat III Codes - Computer-Assisted Musculoskeletal - Help
Can you code 0054T or 0055T at an ASC? One of our orthopedic surgeons charged for them at their office, along with the main procedure code 27130 for a total hip, and got paid, but I don't see this cod... [ Read More ]
Total Knee Replacement using Mako robotic assistance
Without image guidance use 20985, with image guidance based on pre-operative and intraoperatively obtained images use 0054T (fluoroscopic images), 0055T (based on CT/MRI images). Hope this helps :)... [ Read More ]
Total knee with assist of MAKO
[QUOTE="AlanPechacek, post: 428808, member: 375416"] MAKO is a system by Stryker which brings the use of robotics into joint replacement procedures (knee and hip). I have never used it nor seen it us... [ Read More ]
20985 vs 76000
How do you determine when to use 20985 and when to use 76000? Displaced tibial plateau fracture. Open reduction with screw placement was performed under fluoroscopy. Both 20985 & 76000 include fluro... [ Read More ]
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