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Current trends in arthroscopic surgery
The document outlines current trends in arthroscopic surgery, focusing on hip, knee, and shoulder procedures along with relevant coding for these surgeries. It also highlights the importance of being aware of non-payable code combinations and provides specific codes for various arthroscopic procedures. Additionally, it includes a disclaimer about the accuracy of the information and the possibility of changes in regulations or guidelines.
Current trends in arthroscopic surgery
- 1. Current Trends inArthroscopic Surgery Lynn M,.Anderanin, CPC, CPMA, CPPM, CPC-I, COSC 1
- 2. Disclaimer Lynn M. Anderanin,CPC. CPMA, CPPM, CPC-I, COSC has produced this material as an informational reference for providers furnishing service in orthopaedics and other specialties performing these services and make no representation, warranty, or guarantee that this compilation of information is error-free and will bear no responsibility or liability for the results or consequences of the use of this material. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of publication, there is not guarantee against changes. Any regulations, policies and/or guidelines cited in this publication are subject to change without further notice. 2
- 3. Agenda • Hip Arthroscopy •Knee Arthroscopy • Shoulder Arthroscopy • New Procedures • Commercial Insurance Policies 3
- 4. Hip Arthroscopy • 29862-Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum • 29863- Arthroscopy, hip, surgical; with synovectomy 4
- 5. Hip Arthroscopy • 29914-Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) • 29915- Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) • 29916- Arthroscopy, hip, surgical; with labral repair 5
- 6. Non-payable Code Combinations 2991429915 29916 29914 -- Yes Yes 29915 Yes -- No 29916 Yes No -- 29862 No No No 29863 No No No 6
- 7. Unlisted Arthroscopic HipProcedures • IIliopsoas Tendon Release • Gluteus Repair • Trochanteric Bursectomy • Piriformis Release • Quadratus Femoris Release • Fixation of bone fragment (utilizing screws) 7
- 8. Arthroscopic Knee Codes 29866-Osteochondralautograft 29867-Osteochondral allograft 29868-Meniscal transplant 29870-Diagnostic 29871-Lavage and drainage for infection 29873-Lateral release 29875-29876-Synovectomy 8
- 9. Arthroscopic Knee Codes 29877-Debridement/chondroplasty 29879-Abrasionarthroplasty 29880-Meniscectomy, medial and lateral 29881-Meniscectomy, medial or lateral 29882-Meniscus repair, medial or lateral 29883-Meniscus repair, medial and lateral 29884-Lysis of adhesions 9
- 10. Arthroscopic Knee Codes 29885-29887-Osteochondritisdissecans 29888-ACL repair 29889-PCL repair 10
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- 12. Policy Manual • Introduction •General Coding Policies • List of Acronyms • CPT® specific guidelines by code range Example CHAPTER IV SURGERY: MUSCULOSKELETAL SYSTEM CPT® CODES 20000-29999 12