Wiki Manipulation of knee without anesthesia

[tatigoryusheva@yahoo.com]

Hello!

I would like to get response from experts how to code Manipulation of knee without anesthesia for displaced Bucket-handle lateral meniscus tear (S83.212A). Description of procedure is: ""Despite low chance of success, he elected to try an office manipulation. I applied a valgus stress to the left knee while internally and externally rotating the tibia and taking this through a range of motion. There was a palpable clunk. Afterwards the patient did feel like the knee was significantly improved and felt like he can walk normally."

I was told that I cannot bill 27570 (Manipulation of knee joint under general anesthesia) with modifier 52.

Any recommendations?

Thank you very much!

 

[Orthocoderpgu]

If you billed 27570 linked to a meniscus tear it would be denied with or without modifier -52. Code 27570 is for reporting manipulation of the knee when there are adhesions that need to be separated internally. I would go with unlisted as there is no CPT code for performing manipulation to treat meniscus tears.

 

[tatigoryusheva@yahoo.com]

So, if I don't bill with unlisted can it be included in the E/M?

Thank you very much!

 

[tatigoryusheva@yahoo.com]

Medicare does not pay for unlisted 27599.

How to get reimbursed? Only level 5 of E/M?

Thank you

 

[Orthocoderpgu]

With that information I'm not sure on how you will get paid for this service. Sorry! Maybe another great coder out there can give you some better information?

 

[lpalladino]

Try CPT 98925 - Osteopathic manipulative treatment 1-2 body regions involved