ICD-10-CM Documentation 2021 (Essential Chartin Guidance to Support medical Necessity) first Edition Set)
Knee Arthroscopy- CPT password 29881, 29880 and also 29877

Coding Knee arthroscopic steps looks tricky but are no that confusing. There are couple of codes have actually been go together with significant knee arthroscopic procedures. Because that example, currently the CPT codes 29881 and 29880 will incorporate the chondroplasty procedure if perform on very same knee. Chondroplasty perform in any of the compartment favor medial, lateral or patella-femoral, it will certainly be had with CPT code 29881 and also 29880.In arthroscopic knee surgery, the over three compartment play crucial role in picking a correct procedure code. Prefer CPT password 29881 is coded for of operation meniscectomy because that medial or lateral compartment. If meniscectomy is carry out on both compartments, CPT password 29880 is assigned. In both procedures, chondroplasty will be contained if performed on exact same knee regardless of whether of the compartment. Below are the CPT password descriptions for knee arthroscopic procedures.

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29880—Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any type of meniscal shaving), consisting of debridement/shaving the articular cartilage (chondroplasty), same or separate compartment(s), once performed

29881—Arthroscopy, knee, surgical; v meniscectomy (medial OR lateral, including any meniscal shaving) consisting of debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

29877 – Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)


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When to usage CPT code 29881,29880 and also 29877

CPT code 29877 is consisted of with CPT code 29881 and also 29880 as soon as performed on same knee. However, if the procedures are carry out on various knee, for instance Chondroplasty is carry out on left knee and meniscectomy is perform on best knee in such instances we have the right to code them with each other using 59 modifier. As soon as Chondroplasty is coded v meniscectomy CPT password 29881 and also 29880, the procedure code 29877 will certainly be appended through 59 or the brand-new XP, XS, XU, XE modifier. Never ever use the chondroplasty CPT password 29877 together with meniscectomy as soon as performed on same knee. The actions will not acquire paid in together scenarios and also the claim will be denied.

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Do and also Don’t with CPT password 29881 and 29880

Do not usage CPT code 29881 and 29880 together unless the steps are perform on different knee. If carry out on different knee, use them with each other will appropriate modifier. Do not usage CPT code 29877 with CPT password 29881 and 29880 if perform on exact same knee. Chondroplasty is included with CPT 29881 and also 29880 and should not coded separately. Do code Chondroplasty as soon as performed on various knee with CPT code 29881 and also 29880. CPT password 29877 should be appended with modifier 59 as soon as coded through CPT 29881 and also 29880.

When reporting arthroscopic knee actions for Medicare patients, the major procedure gift performed have to be coded utilizing the conventional arthroscopy codes (29870–29887). If chondroplasty and/or loose/foreign body removal is excellent in a different compartment of the very same knee, include on code G0289 may be assigned. Do check with her carriers or regional third-party payers for your guidelines regarding these services.

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Other connected CPT codes for Knee arthroscopy

29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without interior or exterior fixation (includes arthroscopy)29851 – Arthroscopically aided therapy of intercondylar spine(s) and/or tuberosity fracture(s) that the knee, with or without manipulation; with inner or outside fixation (includes arthroscopy)29855 – Arthroscopically aided therapy of tibial fracture, proximal (plateau); unicondylar, has internal fixation, as soon as performed (includes arthroscopy)29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, consists of internal fixation, once performed (includes arthroscopy)29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft)29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty)29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy because that meniscal insertion), medial or lateral29870 – Arthroscopy, knee, diagnostic, v or there is no synovial biopsy (separate procedure)

Sample Coded report for Procedure code 29881

PREOPERATIVE DIAGNOSIS:A 68-year-old male patient presents for outpatient surgery. He complains of raising pain come the left knee end the previous 10 months, and also was found to have a take it lateral meniscus the the left knee.POSTOPERATIVE DIAGNOSIS:Torn lateral meniscus the the left knee and an articular flap that the medial femoral condyle, likewise of the left knee.

PROCEDURES:1. Arthroscopy, left knee, with meniscectomy2. Arthroscopy, left knee, through debridement of the articular flap medial femoral condyle

DESCRIPTION that PROCEDURE:The patient was inserted supine on the operating room table. After general anesthesia to be administered, the left lower extremity was prepped and also draped in the normal sterile manner because that arthroscopic surgery. The knee to be arthroscoped through the traditional medial and lateral portals and also the entire knee joint was evaluated. He was found to have a large, loosened articular surface ar flap that the medial femoral condyle, degenerative considerable tear that the lateral meniscus, and also mild degenerative changes of the lateral compartment.

Using a mix of manual and also power instrumentation, a lateral meniscectomy to be performed. This was complied with by removed of the turbulent flap of cartilage that the medial femoral condyle. Next, an arthroscopic shaver and Stryker electrocautery in ~ a very low setup were used to carry out a chondroplasty and debridement of the articular cartilage in the involved locations of the medial femoral condyle. This component of the surgical procedure took 25 minutes.

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After copious irrigation, all broke up tissue to be removed. The arthroscope was then removed. The skin portals were closed with a solitary 4-0 nylon stitch. The knee was injected v 20 cc the Marcaine and 1 cc of Kenalog 40. The patience was required to the recovery room in stable condition. There were no complications. Every sponge and instrument counts were correct.

CPT Codes29881 – Arthroscopy, knee, surgical; through meniscectomy (medial OR lateral, including any type of meniscal shaving)

G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving the articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a various compartment of the same knee

Rationale: The G password G0289 need to be offered only because that Medicare patients as soon as the removed of foreign body or chondroplasty is perform in different compartment of knee.