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ivonneatanacio

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Hello,
My question is if the surgeon does multiple chondroplasty how many compartments can you bill up to? I was thinking up to for
 
I am assuming the chondroplasty is of the knee? If its a straight chondroplasty (29877), you can only bill this code one time regardless of the number of compartments that were debrided.

Mary, CPC,COSC
 
Chondrplasty

Sorry for not being specific, yes it is the knee but the chondroplasty was done in multiple compartments example in the Patella femoral, lateral femoral Condyle and the trochlear along with a Medial and lateral menisectomy. This is how I code it.
29880 dx (836.0, 836.1
G0289-59 (Patella) dx 717.7
G0289-59 (LFC) dx 733.92
G0289-59 (trochlear) dx 733.92
The reason for the question is that several insurance companies were paying but now they are limiting the payments on the G Codes.
 
Medicare only allows the code to billed one time and that is if it is documented that the physician spends at least 15 minutes in that compartment. You would only be able to bill each compartment once. To clarify, Medicare only recognizes 3 compartments, medial, lateral and patella. In your example you could bill
29880 (836.0, 836.1)
G0289 (717.7)
I am not sure who your payer is, but many follow medicare guidelines. Hope that helps!
 
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