Wiki Partial Synovectomy Billing

[Ravikirann]

Dear All,

I have doubt in coding Partial Synovectomy. As per CPT guidelines Partial Synovectomy is a separate procedure.We are not suppose to bill with more extensive procedure.But if we check CCI edits it say's as follows.As per the below CCI edits we can append -59 modifier to the CPT 29875. If it is a separate procedure and inclusive of more extensive procedure then how to bill with modifier.If the procedure is included then why we have to append modifier -59.


29875 - Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)

Code 29875 is a column 2 code for 29880 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 29875
CCI edit Rule:
CPT "separate procedure" definition

Code 29875 is a column 2 code for 29881 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 29875
CCI edit Rule:
More extensive procedure

Code 29875 is a column 2 code for 29876 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 29875
CCI edit Rule:
CPT "separate procedure" definition

Code 29875 is a column 2 code for 29879 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 29875
CCI edit Rule:
CPT "separate procedure" definition

Code 29875 is a column 2 code for 29888 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 29875
CCI edit Rule:
CPT "separate procedure" definition

Note*: Always use modifier (if allowable) with column 2 code.

The current NCCI-associated modifiers are: E1, E2, E3, E4, FA, F1, F2, F3, F4, F5, F6, F7, F8, F9, LC, LD, LM, RC, RI, LT, RT, TA, T1, T2, T3, T4, T5, T6, T7, T8, T9, XE, XP, XS, XU, 24, 25, 27, 57, 58, 59, 78, 79, and 91. Read about modifiers for CPT andHCPCS codes

Thanks In Advance
Ravi