Wiki Menisectomy and loose body

[scooter1]

I need some help. I have had a problem lately with denials for Arthroscopic removal of a loose body from the knee when performed with a menisectomy.

Patient has a Arthroscopic Lateral menisectomy
and removal of a 2cm loose body in the suprapatellar pouch.

I ordinarily would code 29881 and G0289-59 . But the G0289 gets denied as included in the 29881, even though it is in a separate compartment. Was I incorrect to code that ?
I have only had this problem in the last few months. . . . . I now chondroplasty are now
inclusive to the 29881, but I thought we could still charge for the loose body.

Any thoughts ?

 

[nyyankees]

I need some help. I have had a problem lately with denials for Arthroscopic removal of a loose body from the knee when performed with a menisectomy.

Patient has a Arthroscopic Lateral menisectomy
and removal of a 2cm loose body in the suprapatellar pouch.

I ordinarily would code 29881 and G0289-59 . But the G0289 gets denied as included in the 29881, even though it is in a separate compartment. Was I incorrect to code that ?
I have only had this problem in the last few months. . . . . I now chondroplasty are now
inclusive to the 29881, but I thought we could still charge for the loose body.

Any thoughts ?

You'll need to appeal but you should get paid...

 

[scooter1]

Yes, we are definitely appealing the denials.