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Bilateral knee surgery

  1. Post Bilateral knee surgery
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    Im confused on this one because he did both knees on same operative session.

    Left knee- synovectomy was performed in all three compartments and chondroplasty in all three compartments.

    Right knee- synovectomy done in all three compartments and chondroplasty done in medial and patella compartment only.

    Insurance is aetna and i want to send this as 29876 only for left knee and
    g0289, g0289, 29875 for right knee. Not sure if this is correct or if i can also bill the g0289x3 for the left knee. And which modifier to use any suggestions. I did ask the doctor if synovectomy was done for visualization purposes and he said mainly yes.

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    Quote Originally Posted by amartinez1 View Post
    Im confused on this one because he did both knees on same operative session.

    Left knee- synovectomy was performed in all three compartments and chondroplasty in all three compartments.

    Right knee- synovectomy done in all three compartments and chondroplasty done in medial and patella compartment only.

    Insurance is aetna and i want to send this as 29876 only for left knee and
    g0289, g0289, 29875 for right knee. Not sure if this is correct or if i can also bill the g0289x3 for the left knee. And which modifier to use any suggestions. I did ask the doctor if synovectomy was done for visualization purposes and he said mainly yes.
    I would submit 29876-50 only. Reason being you could try to capture 29877 for the 3rd compartment but you may be "pushing it". You can only report G0289 2 times not 3 as there are only 3 knee compartments and G0289 states "separate" knee compartment. Synovectomy & chondroplasty in same knee compartment bundle. Hope this helps..

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