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29871 or 29877

  1. Default 29871 or 29877
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    Hello Everyone! UHC denied my claim stating op report doesn't match cpt..... HELP!!

    OPERATIVE PROCEDURE: The patient was brought to the operating room after
    suitable general anesthesia. She was placed supine on the OR table. The
    right leg was sterilely prepped, draped, exsanguinated and placed in a leg
    holder. The thigh tourniquet was inflated. The two anterior portals were
    created. At the start of the first portal, we collected directly from the
    intraarticular space through the arthroscopic scope cannula approximately
    25 mL of purulent material that was sent to the lab in a sterile container
    for gram stain culture and sensitivity. The rest of the joint was
    arthroscoped, it was full of cloudy fluid. We lavaged the knee with a
    total of 9 liters of saline. The knee was flushed a number of times.
    Halfway through the course of irrigation, the fluid was clear. Instruments
    and fluid were removed. The knee was filled with 20 mL of 0.5% Naropin and
    the two portals were closed with an interrupted nylon suture. The medial
    portal first had a 0.25 inch Penrose drain placed. The intraarticular
    findings during the arthroscopic procedure showed erythematous synovium,
    some inflamed hypertrophic synovium that was removed. The joint surfaces
    and the menisci were in good condition. Sterile dressing was applied. The
    patient was awakened and taken to recovery in satisfactory condition having
    sustained no intraoperative complications.

  2. #2
    which cpt and diagnosis did you submit? looks like 29871 sh/be the cpt used

  3. #3
    Salt Lake North
    Default 29871
    Code 29877 is for debridement of articular cartilage. That is not documented.

  4. Default
    They billed 29877, 29871 and 27570. I definitely don't see 27570 in the op report.

  5. #5
    I only see 29871. Even if 29877 or 27570 had been performed (which do not see), they would still bundle to 29871. They removed some hypertrophic synovium, but 29875 would also bundle to 29871.

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