Results 1 to 6 of 6

29867 or 29879

  1. #1
    Default 29867 or 29879
    Medical Coding Books
    I'm not sure if I should use 29867 or 29879 on this. Also, Dr. did a PRP injection, would that be bundled as well? An article from Becker's ASC says it is, but I can't really find anything else on it other than PRP's are usually considered investigational.

    Here's the report-
    He was noted to have an approx. 8x1 cm full thickness chondral lesion on the weight-bearing portion of the medial femoral condyle. Utilizing a shaver, the synovium was debrided from around the chondral lesion. A shaver was then used to remove the calcified cartilage from the base of the lesion. Utilizing the Arthrex power pick, a microfracture was performed on the lesion. The area was again shaved. Blood was drawn and spun down and the morselized cartilage was mixed with PRP. This was then injected into the lesion and smoothed down with a freer. Fibrin glue was placed over the top and this was allowed to sit for 5 minutes. Upon completion of this, the remaining PRP was injected into the joint.

    Any help is greatly appreciated.



  2. Default
    I also have a question about this... can anyone answer? The doctor seems to have done both codes 29867 and 29879, the problem is code 29879 does not allow 29867 during the same session, same compartment, which code would you use? Do you have to pick 29879 or 29867?
    Last edited by cas614; 11-12-2014 at 04:01 PM.

  3. #3
    I have the exact situation, same compartment of knee, I am going to choose 29867, no one has responded to my procedure note. My final decision was based on the weight of the RVU which is more for CPT code 29867 I am still learning Ortho.
    Melissa Bedford,CCS,CPC

  4. Default
    Darn I was hoping someone would answer you, I know I should probably pick 29867 too, but that code has other issues such as medical necessity that I don't think the provider met, so wanted to pick 29879 instead.

  5. #5
    Default Hope this helps :)
    If the surgeon did both I would code both as 29879 is not included within 29867 global package per the GSD guide if it is in separate compartments. If that is not the case I would go with the highest RVU's if it is the reason for the surgery and supports medical necessity. If you can't prove medical necessity, code for what you can prove.

    Lekisha Bryant, CPC, COSC
    Last edited by; 11-30-2014 at 11:03 AM. Reason: grammar error

  6. #6
    29879, the Microfracture, is used to make drill small holes into the bone to encourage healing. 29866/67 are drill holes on defects of the bone and putting in auto/allografts respectively.

    In the original poster's report, I believe it's more of a Microfracture procedure. The PRP would be considered inclusive because it's post operative pain relieve.

    Agree with lekishabryant that if there's multiple compartments of the knee worked, and documented, you can definitely bill with special modifiers. But looks like all work was done in the Medial Compartment.

Similar Threads

  1. 29867 only?
    By MELJNBBRB in forum Orthopaedics
    Replies: 1
    Last Post: 11-12-2014, 11:10 AM
  2. 29879 also??
    By MELJNBBRB in forum Orthopaedics
    Replies: 2
    Last Post: 10-29-2014, 03:39 PM
  3. 29879 per compartment?
    By joanne71178 in forum Orthopaedics
    Replies: 12
    Last Post: 06-05-2013, 08:30 AM
  4. 29879?
    By bethh05 in forum Outpatient Facilities
    Replies: 0
    Last Post: 04-18-2011, 09:08 AM
  5. 29879 only?
    By BFAITHFUL in forum Orthopaedics
    Replies: 3
    Last Post: 04-07-2009, 02:36 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.