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Disagree with provider coding 29876 & G0289

Happy Friday all!!

Hoping someone can help with this one. I am not agreeing with my provider on this one.

Op Report states:

"Standard arthroscopy portals were performed, anteromedial, anterolateral and superomedial.

A fair amount of synovitis was noted throughout the entire knee joint and synovectomy was performed.

After synovectomy was performed I was able to visualize all the compartments of the knee. Patellofemoral joint was within normal limits.

Medial compartment of knee shows a tear of the posterior horn of the medial meniscus, partial meniscectomy was performed. Also a tear of the anterior horn of the medial meniscus was seen and partial meniscectomy was performed.

In the intercondylar notch the anterior cruciate ligament was intact. In the lateral compartment of the knee the radial tear of the free edge of the body of the meniscus was seen and partial meniscectomy was performed until stable edges were seen. All debris was extracted and portals closed."

Physician wants to bill 29876 and G0289. I think only 29876. Any thoughts?

Thank you!!!

Medical Billing and Coding Forum

G0289 with 29880/29881 for chondroplasty

One of our MD’s just gave me the following article https://www.healio.com/orthopedics/b…ximal-payments, which states we can use G0289 for a chondroplasty along with 29880/29881 as long as in a separate compartment for Medicare patients(even though the AMA description includes chondroplasty, same or separate compartment???). Anything I have read from CMS/ CCI states they changed the edit but for foreign body removal only.

Does anyone have any more information on this?

Medical Billing and Coding Forum