Can G0289 be billed with 29880?

Since CPT codes 29880 and 29881 (Surgical knee arthroscopy with meniscectomy including debridement/shaving of articular cartilage of same or separate compartment(s)) include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for …

Can CPT 29888 and 29875 be billed together?

The Division finds that because code 29875 has the parenthetical statement “separate procedure” the CCI policyapplies. Both procedures code 29881 and 29875 were performed on the same anatomically related region (knee); therefore, 29875 cannot be reported with 29881 and the use of modifier 59 is not supported.

Can 29880 and 29879 be billed together?

As of this writing, CPT 29879 — Arthroscopy knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture — when adequately described within the operative report may still be reported in addition to the 29880 or 29881 procedures.

Does G0289 need a modifier?

There is no procedure-to-procedure edit between 29882 or 29883 and G0289. It’s not correct to apply modifier 59 to Medicare claims with these codes. Medicare assumes that G0289 represents the arthroscopic removal of a loose body or foreign body in a different compartment.

Is G0289 for Medicare only?

Report HCPCS code G0289 only to Medicare (unless a private payer has provided specific written instructions related to this code). Do not report HCPCS code G0289 to Medicare if the only procedure performed and documented is a chondroplasty. Instead, report CPT code 29877.

When can you bill G0289?

G0289 should be reported only when the physician spends at least 15 minutes in the additional compartment performing this procedure. It should not be reported if the reason for performing the procedure is due to the problem caused by the arthroscopic procedure itself.

Can CPT codes 29888 and 29880 be billed together?

Never use the chondroplasty CPT code 29877 along with meniscectomy when performed on same knee. The procedures will not get paid in such scenarios and the claim will be denied. Do not use CPT code 29881 and 29880 together unless the procedures are performed on different knee.

Can 29888 and 27427 be billed together?

Therefore, codes 27427 and 29888 may be reported for the same operative session. Modifier 51, Multiple Procedures, should be appended to the…

What is CPT G0289?

G0289. ARTHROSCOPY, KNEE, SURGICAL, FOR REMOVAL OF LOOSE BODY, FOREIGN BODY, DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY) AT THE TIME OF OTHER SURGICAL KNEE ARTHROSCOPY IN A DIFFERENT COMPARTMENT OF THE SAME KNEE.

Should I report Procedure Code 29874 or g0289?

For Medicare patients: 29874 should be reported only when it is the sole procedure performed. G0289 includes the reference “in a different compartment of the same knee”. Therefore, loose or foreign body removal performed in the same compartment as another procedure should not be reported, even if the size and incision criteria are met.

What is the difference between CPT code 29880 and 29881?

By definition, 29880 reports meniscectomy in both the medial and lateral compartments, while 29881 defines a meniscectomy in either the medial or lateral compartment. Since 2012, codes 29880 and 29881 have included debridement/shaving of articular cartilage (chondroplasty), whether it’s performed in the same or a separate compartment.

What is a 29875 arthroscopy?

CPT® has assigned the “separate procedure” designation to 29875 Arthroscopy, knee, surgical synovectomy, limited (eg, plica or shelf resection) (separate procedure). As such, do not report 29875 with other arthroscopic procedures in the same knee.

Does g0289 include chondroplasty?

That’s because G0289 includes both removal of loose bodies and chondroplasty (Full description: “Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage [chondroplasty] at the time of other surgical knee arthroscopy in a different compartment of the same knee”).