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Ankle arthroscopy w/ lateral talar dome debridement & denovo cartilage placement

C

cindya4271@gmail.com

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7
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Taftville, CT
Hoping someone can help me out with this one! My fellow coder and I were asked to give potential codes (for authorization) for the following "revision ankle arthroscopy, debridement lateral talar done osteochondral defect, placement of Denovo cartilage graft". After mulling it over, and of course not having documentation since it's for auth, we decide to give them all the potential codes we could think of.. we gave 29891, 29892, and 29999. The response we received was they believe the Denovo placement should be 27610, the revision is 29898 & 29895, and 29892 for the osteochondral defect. No amount of trying to explain is getting us anywhere. Hoping someone, anyone, has come across this and can tell us what they coded.

Thank you in advance!
 
cindya4271@gmail.com said:
Hoping someone can help me out with this one! My fellow coder and I were asked to give potential codes (for authorization) for the following "revision ankle arthroscopy, debridement lateral talar done osteochondral defect, placement of Denovo cartilage graft". After mulling it over, and of course not having documentation since it's for auth, we decide to give them all the potential codes we could think of.. we gave 29891, 29892, and 29999. The response we received was they believe the Denovo placement should be 27610, the revision is 29898 & 29895, and 29892 for the osteochondral defect. No amount of trying to explain is getting us anywhere. Hoping someone, anyone, has come across this and can tell us what they coded.

Thank you in advance!
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Any takers on this??
 
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