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Help on knee surgery

  1. Post Help on knee surgery
    Medical Coding Books
    Synovectomy of medial, lateral, and patellofemoral joint
    chondroplasty of lateral tibial plateua to remove loose articular cartilage.
    Chondroplasty of medial femoral condyle to remove sliver of loose articular cartilage.

    I have coded this as 29876-extensive synovectomy since more than one compartment was done and did not code for the chondroplasty since synovectomy was done in same compartment of the chondroplasty and i was told you should not double dip.

    The physician thinks it should be coded as 29877- for the medial and lateral chondroplasty and 29875-for synovectomy done in the patellofemoral joint. Any suggestions i think my doctor may be right after reading some past articles would like another opinion. Thanks

  2. Default
    Well without reading the op note 29876 would be correct for the extensive synovectomy but you can also code 29877 as a G0289 w/ a mod 59. Most carriers are now accepting the G0289.

    Hope this helps.

  3. Lightbulb G0289 is not billable
    In this case, G0289 is not appropriate. G0289 can be used when a chondroplasty and/or removal of loose bodies are performed in a separate compartment by itself. Since this is not the case. G0289 should not be billed.

    I would only bill 29876.

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