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Medial plica excision

  1. Default Medial plica excision
    Medical Coding Books
    orthopedic surgeon did an arthroscopy/partial medial meniscectomy, chondroplasty of the medial medial compartment and resection of medial plica. I know i can bill 29881 and the chondroplasty is included in the 29881 as it is in the same compartment. He made a lateral parapatellar portal and the medial plica was excised. Where he made a separate portal in the lateral parapatellar area, is the plica included in the 29881 or can i bill for 29875 with a 59 modifier? Thanks for your help.

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    Portland Metro Chapter
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    Quote Originally Posted by hlmcintyre View Post
    orthopedic surgeon did an arthroscopy/partial medial meniscectomy, chondroplasty of the medial medial compartment and resection of medial plica. I know i can bill 29881 and the chondroplasty is included in the 29881 as it is in the same compartment. He made a lateral parapatellar portal and the medial plica was excised. Where he made a separate portal in the lateral parapatellar area, is the plica included in the 29881 or can i bill for 29875 with a 59 modifier? Thanks for your help.
    I would bill 29875-59 because this was not done for 'visualization' only as it was done via a separate portal. The dx for plica syndrome escapes me just now but I would use it for this procedure.

  3. Default medial plica
    Thank you so much. I thought that but when you look at the global service it has it included but where he made a separate lateral parapatellar portal and excised it, i thought i might be able to bill for it. Thanks Again.

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