Results 1 to 6 of 6

Knee Scope with Open Hardware Removal

  1. Default Knee Scope with Open Hardware Removal
    Exam Training Packages
    Here is a knee surgery I am having difficulty with - The payor is BS OF MASS.

    Patient had an ORIF of a tibial plateau with plates and screws several years ago and has had knee pain refractory to nonoperative management.

    The doc found through the arthroscopy - synovitis in the suprapatellar pouch, chondromalacia patellofemoral joint, lateral meniscus tear. He also removed the plates and screws status post lateral tibial plateau ORIF.

    These are the procedures listed: ANY HELP WILL BE GREATLY APPRECIATED!!!

    Arthroscopic partial synovectomy, chondroplasty of the patellofemoral joint and lateral compartment, partial lateral meniscectomy and then OPEN removal of plates and screws s/p lateral tibial plateau ORIF with bone grafting for the defects left from the screw removals. He used Grafton and cancellous chips.

    I would think I cannot bill for the partial synovectomy and chondroplasty of the lateral compartment for OA but I am confused about the modifiers and how to code the open hardware removal with bone grafting.

    Thanks for any help - HAPPY AND HEALTHY NEW YEAR!!!!

  2. Default
    Quote Originally Posted by Desperate Denise View Post
    Here is a knee surgery I am having difficulty with - The payor is BS OF MASS.

    Patient had an ORIF of a tibial plateau with plates and screws several years ago and has had knee pain refractory to nonoperative management.

    The doc found through the arthroscopy - synovitis in the suprapatellar pouch, chondromalacia patellofemoral joint, lateral meniscus tear. He also removed the plates and screws status post lateral tibial plateau ORIF.

    These are the procedures listed: ANY HELP WILL BE GREATLY APPRECIATED!!!

    Arthroscopic partial synovectomy, chondroplasty of the patellofemoral joint and lateral compartment, partial lateral meniscectomy and then OPEN removal of plates and screws s/p lateral tibial plateau ORIF with bone grafting for the defects left from the screw removals. He used Grafton and cancellous chips.

    I would think I cannot bill for the partial synovectomy and chondroplasty of the lateral compartment for OA but I am confused about the modifiers and how to code the open hardware removal with bone grafting.

    Thanks for any help - HAPPY AND HEALTHY NEW YEAR!!!!
    29881-79
    20680-58
    20900-58 for bone grafting.

    I didnt check edits, but that is what i would code this as.
    Melissa, CPC

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Quote Originally Posted by ILuvRock View Post
    29881-79
    20680-58
    20900-58 for bone grafting.

    I didnt check edits, but that is what i would code this as.
    Melissa, CPC
    Since the injury was "many years ago" I would not use the 79/58 modifiers. Those would only be needed if the patient were in the global period.
    Mary, CPC, CANPC, COSC

  4. Default Arthroscopy with Hardware Removal
    Thanks guys -

    I have a question though - if the doc performed a chondroplasty in the patellofemoral joint and a partial lateral meniscectomy along with the hardware removal - would I be able to use G0289 for the chondroplasty in a different compartment?

    Thanks again so much

    Denise

  5. #5
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by Desperate Denise View Post
    Thanks guys -

    I have a question though - if the doc performed a chondroplasty in the patellofemoral joint and a partial lateral meniscectomy along with the hardware removal - would I be able to use G0289 for the chondroplasty in a different compartment?

    Thanks again so much

    Denise
    I say yes.

  6. Default Knee Scope and Hardware Removal
    Thanks everyone - I cannot tell you how much I appreciate your support!!

    I am learning so much -

    Muche appreciated.

    Denise

Similar Threads

  1. Knee scope vs open ligament repairs
    By ortholg@yahoo.com in forum Orthopaedics
    Replies: 0
    Last Post: 06-18-2012, 08:19 AM
  2. Knee Arthroscopy - Open Loose Body Removal - Help
    By Sara82 in forum Orthopaedics
    Replies: 3
    Last Post: 10-19-2011, 07:35 AM
  3. Knee scope with Open meniscal cyst excision
    By Desperate Denise in forum Orthopaedics
    Replies: 1
    Last Post: 03-22-2010, 08:42 AM
  4. Replies: 3
    Last Post: 04-20-2009, 12:16 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?

Login

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.