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Pick arthroplasty ankle arthroscopically

  1. Question Pick arthroplasty ankle arthroscopically
    Medical Coding Books
    Would you code 29999 unlisted and compare to 29879? Done in conjunction with arthroscopic debridement of an osteochondral defect 29806?

    Thank you, Mary

  2. Default
    Can anyone out there help me with this code? Thank you very, very much. Mary

  3. #3
    Greater Pittsburgh
    Did you look at description for 29891 with -52 modifier, or 29898 (debridement)
    not sure what your op note states.
    jdemar, CPC, CMA

  4. Default
    the pick arthroplasty is more than 29898 debridement. I see the drilling for vascularization in 29891 which is what the pick holes are doing, however, I don't think I should use a code 29891 as he is not removing/excising the osteochondral defect but just debriding off the subtalar area 29906 and then doing the pick arthroplasty to help promote healing.

  5. #5
    Greater Pittsburgh
    looks like unlisted 29999 and compare to 29879?
    jdemar, CPC, CMA

  6. Default
    Thank you very much!!!!!

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