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Bilateral knee arthroscopy

  1. #1
    Default Bilateral knee arthroscopy
    Medical Coding Books
    Patient had different procedures done on each knee (one menisectomy and one plica shelf repair). Do I bill with the RT/LT modifiers or with -59 or is there another way to get them both paid? Not a medicare patient (pt has medicaid).

  2. #2
    Default
    Anyone????

  3. #3
    Default
    As 29875 bundles into 29881, I would use both 59 and LT or RT on 29875. I'm assuming by plica repair you mean the plica was removed.

  4. #4
    Default
    Yes, that is what I meant (plica excised). Thank you so much for your response!! So, just to be clear, I should code them as:

    29881-LT
    29875-RT-59

  5. Default
    I would code as
    29881 LT
    29875 59 RT

    the anatomical modifier should go after the 59 modifier.

  6. #6
    Default
    Yes, since this is not a Medicare patient, 59 followed by RT. For Medicare, the modifiers would be reversed.

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