• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

29881 with 29875? Meniscectomy and popliteal cyst together?

L

l1ttle_0ne

Guru
Messages
148
Location
Puyallup, WA
Hello!

I'm fairly new to ortho coding and I'm unsure on this one. Can you bill a arthroscopic partial lateral meniscectomy with a debridement of a popliteal cyst? Doc is coding it as 29881 29875-59. See attached op note. Any help you can provide would be great! I'm really unsure of this one!
 

Attachments

  • 29881 29875.JPG
    29881 29875.JPG
    184.3 KB · Views: 10
No. 29875 is considered a (separate procedure) which means it is bundled into the more complex procedure. Mod 59 cannot be added to unbundle. Now if the provider made an incision to remove the popliteal space (Baker's cyst), you can look at CPT 27345 Excision of synovial cyst of popliteal space. Be sure to check the NCCI edits to make sure there are no bundling edits between 27345 and 29881. I didn't have time to review that.
 
kevans0409 said:
No. 29875 is considered a (separate procedure) which means it is bundled into the more complex procedure. Mod 59 cannot be added to unbundle. Now if the provider made an incision to remove the popliteal space (Baker's cyst), you can look at CPT 27345 Excision of synovial cyst of popliteal space. Be sure to check the NCCI edits to make sure there are no bundling edits between 27345 and 29881. I didn't have time to review that.
Click to expand...
Thank you!
 
kevans0409 said:
No. 29875 is considered a (separate procedure) which means it is bundled into the more complex procedure. Mod 59 cannot be added to unbundle. Now if the provider made an incision to remove the popliteal space (Baker's cyst), you can look at CPT 27345 Excision of synovial cyst of popliteal space. Be sure to check the NCCI edits to make sure there are no bundling edits between 27345 and 29881. I didn't have time to review that.
Click to expand...
If codes 27345 and 29881 were performed: separate incisions, separate compartments essentially mutually exclusive. Would you need to place a modifier, and if so, would -59 apply to 29881, or 27345?
 
You must log in or register to reply here.
Top