Knee- Per the NCCI, both 29874 and 29875 are components of the 29882. So the 29882 is the only billable service.
29882 - Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)
29874 - Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)
29875 Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)
Cysto - It appears this was over and above the work usually involved in a cysto. Therefore, in my opinion, the modifier 22 could be appended to identify that additional work was involved.
Sinus - I'm not an ENT expert, but I'll put my 2 cents in here. I'm interested in what others think.
What about 31020 for Sinusotomy, maxillary (antrotomy); intranasal? Sinusotomy vs. sinusectomy?
The destruction of the turbinate(s) would be billable, as well. However, regardless of how many turbinates are destroyed, code the turbinate destruction code once. The turbinates could be coded as follows, depending on what was documented.
30801 Cautery and/or ablation, mucosa of inferior turbinates, unilateral or bilateral, any method; superficial
30802 Cautery and/or ablation, mucosa of inferior turbinates, unilateral or bilateral, any method; intramural
30999 for Cautery and ablation of superior or middle turbinates.
As an aside, I have a sinus question out there, but haven't received any responses. If anyone has experience in ENT, would you please contact me? Thanks
Happy Coding, Claudia
Claudia Yoakum-Watson, CPC
Coding, Compliance, & Reimbursement Solutions
ccrsconsulting.com - website