Results 1 to 3 of 3

Cyclops Lesion - Arthroscopic

  1. Default Cyclops Lesion - Arthroscopic
    Medical Coding Books
    I billed a synovectomy(29876), Chondroplasty(G0289) and unlisted code for Cyclops Lesion debridement(29999) coming from a previous ACL graft. The unlisted code was denied. Chondroplasty was performed in the patellofemoral compartment. Synovectomy and the Cyclop debridement were preformed int he same compartment.
    Is this truely not paid seperate? Can anyone help me explain why this denial is valid or invalid.
    New to Ortho coding and any help would be greatly appriciated.
    Thank you!

  2. #2
    They are probably including the lesion into the synovectomy code. I have had a couple of cyclops lesions in the past and I would have bundled everything done in that compartment into the unlisted code and priced accordingly, particularly synovectomy which are typically included into other codes.

    I usually do not have good luck getting unlisted codes paid when other procedures are being done at same site.

    You will probably have to have your doc do a letter of medical neccessity stating why the procedure needed to be done and why he feels it is separate from the synovectomy AND they still might not pay it.

  3. Default
    Thank you so much for your help.

Similar Threads

  1. Replies: 1
    Last Post: 12-22-2013, 06:46 AM
  2. Cyclops Lesion.
    By nikkisgranny in forum Orthopaedics
    Replies: 11
    Last Post: 08-14-2013, 11:34 AM
  3. Cyclops lesion & menisectomy
    By coders_rock! in forum Orthopaedics
    Replies: 2
    Last Post: 04-11-2013, 05:34 AM
  4. Hill Sachs Lesion (Bankart Lesion)
    By in forum Orthopaedics
    Replies: 1
    Last Post: 02-20-2012, 08:06 AM
  5. Replies: 1
    Last Post: 01-05-2011, 10:19 AM

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.