Results 1 to 7 of 7

knee arthroscopy

  1. #1
    Default knee arthroscopy
    New Call-to-action
    use some help with this one. I have a left knee & right knee arthroscopic procedure.

    The left knee had a lateral menisectomy and also had debridement of chondral flaps of the femoral condyle in the medial compartment, although, the medial meniscus was probed and intact.

    The right knee had chondral flaps debrided in the patellofemoral region and a medial menisectomy was also done.

    I want to make sure that the codes and modifiers I choose are correct. I am going to use the 29881 for both because it is a medicaid patient so the chondroplasty would be included, correct? For the modifier, I am not sure if the bilateral modifier or the LT/RT modifier would be more appropriate. Any input is appreciated. Thanks

  2. Default
    Did were the debridments done in the same compartment as the menisectomy? If the doc did a lateral menisectomy and a debridment in the medial or petella area you should code for them. And with anything CMS use the 50 modifer.

  3. #3
    debridements were in different compartments, see previous posts, and the chondroplasties are included in the menisectomies (per this payer). What I needed to know was the proper modifiers to use. Thanks for your reply

  4. #4
    St Joseph
    Depends on what your Medicaid allows as acceptable modifiers. In Missouri, there are only 5 modifers that Medicaid will recognize. Check on the State Medicaid website they should be able to let you know acceptable codes or if you have a contact person start there. In MO, 50 would be the one we would use. Hope this helps

  5. #5
    I agree that it depends on Medicaid in your state on what modifier they prefer. Our Medicaid doesn't want RT/LT or 50 for bilateral procedures...they want it x 2 units.
    I'd call your Medicaid reps to verify....

  6. #6
    Greater Pittsburgh
    I agree with calling. In PA they do not allow modifiers only units.
    jdemar, CPC, CMA

  7. #7
    Thanks everyone for your help. I actually did end up going with the 2 units after all so thanks!!

Similar Threads

  1. knee arthroscopy
    By scooter1 in forum Orthopaedics
    Replies: 0
    Last Post: 07-17-2012, 01:50 PM
  2. Arthroscopy knee
    By dboutwell in forum Orthopaedics
    Replies: 3
    Last Post: 05-29-2012, 03:55 PM
  3. Need help with knee arthroscopy
    By dboutwell in forum Orthopaedics
    Replies: 1
    Last Post: 02-17-2011, 06:35 AM
  4. Replies: 7
    Last Post: 08-08-2008, 02:47 PM
  5. Help on knee arthroscopy - I am so confusing myself
    By smcbroom in forum Outpatient Facilities
    Replies: 0
    Last Post: 07-01-2008, 03:01 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?


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.