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Arthroscopy Chondroplasties of Knee

  1. Red face Arthroscopy Chondroplasties of Knee
    Medical Coding Books
    I need help coding this surgical report:
    Chondroplasty Patella, Femoral Trochlea, Lateral Tibial Plateau, with Excision of Loose Bodies of Knee. This is a Blue Cross of Virginia claim.

    The patella had gross chondromalacia, down to bone in some areas, but no microfracture was done. I think this is the primary procedure.

    Can I code: CPT 29877 [patella]
    G0289 x 2 [femoral trochlea, lateral tibia plateau]
    29874 [loose bodies]

    Would appreciate some comments on this coding.[/B][/B]

  2. Default
    Quote Originally Posted by cwilson3333 View Post
    I need help coding this surgical report:
    Chondroplasty Patella, Femoral Trochlea, Lateral Tibial Plateau, with Excision of Loose Bodies of Knee. This is a Blue Cross of Virginia claim.

    The patella had gross chondromalacia, down to bone in some areas, but no microfracture was done. I think this is the primary procedure.

    Can I code: CPT 29877 [patella]
    G0289 x 2 [femoral trochlea, lateral tibia plateau]
    29874 [loose bodies]

    Would appreciate some comments on this coding.[/B][/B]
    (29874)Arthroscopic removal of loose or foreign bodies through the arthroscopic sheath is included in the base procedure.
    Removal of loose or foreign bodies that are greater than 5mm or through a separate incision are separately reportable. The op note has to include that information to bill for it.
    (29877)A chondroplasty is only reported once, regardless of how many areas are debrided or shaved.
    So, if the 29874 is applicable according to the above then I would code this as
    29874 loose bodies
    G0289 patella (Femoral trochlea...included in Patella compartment)
    G0289/59 lateral
    there are only 3 compartments in the knee: Medial, Lateral, Patello-Femoral.

    If 29874 is not documented in the op note to be billed then you can only code this as:
    29877 (One time)!!!

    Hope that helps you.

  3. Red face Chondroplasties of knee
    Perfect! Thank you
    CW

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