Please keep in mind that the CCi edits are provided by Medicare. If you are familiar with orthopedics, then you are aware that the 29877 issue has been ongoing for close to 10 years now. Medicare has their own set of guidelines for the 29877. As you can see in the CCI edits the 29877 bundles with EVERY knee scope procedure. So IF this is a medicare patient then yes it does bundle but then you follow their guidelines that tell you to use G0289 for reporting purposes of the 29877.hmm...so either CCI Edits is incorrect or payers are paying incorrectly? I don't know, I tend to follow CCI Edits, they haven't lead me wrong yet
Can you share that documentation? I have a BCBS patient that had lateral release and chondroplasty of the inferior pole of the patella. I would like to be able to bill for both 29877 and 29873 because of being in two different compartments.I disagree with Donna as the AMA has documentation that supports the use of the -59 modifier.
If your documentation clearly supports that you are in a different compartment (either medial or patellofemoral), it is codeable with a 59 modifier. If the chondroplasty was performed in the lateral compartment you will not be able to code it.
I DO have documentation to support the above statement as well and will be happy to repost it or you may find it in other threads under the orthopedic section.
Hope this helps
I thought the lateral release is only performed in the patellar compartment, and since your chondroplasty is also performed in the same compartment, it does not qualify for a 59 modifier?Can you share that documentation? I have a BCBS patient that had lateral release and chondroplasty of the inferior pole of the patella. I would like to be able to bill for both 29877 and 29873 because of being in two different compartments.