If the planned procedure was for the chondroplasty, then you would bill for the 29877. The only time you would use the G0289 is when there is another arthroscopic procedure, which I know in this case you said he did a limited synovectomy, but I am thinking that the synovectomy was not the planned procedure and therefore incidental to the chondroplasty. Even though the synovectomy may have a higher payment rate..it was not the primary procedure and would bundle into the 29877 since he was already in all three compartments.
However if I am incorrect above..then you would use the 29875/6 and then the G0289 (and yes..Medicare does not pay for it...its a reporting tool)
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