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CPT 29874

CPT® Code 29874 - Endoscopy/Arthroscopy Procedures on the

The Current Procedural Terminology (CPT ®) code 29874 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Arthroscopy Procedures on the Musculoskeletal System. Subscribe to Codify and get the code details in a flash. Request a Demo 14 Day Free Trial Buy No Question: I understand that normally the 29874 (loose body removal) is bundled into 29881 however according to AAOS Global Service Data/ Code X it states that it is billable if the loose body is greater than 5mm or thru separate incision--we have a case where the doctor removed a 1cm x 1cm loose body in the same compartment as 29881 so is this billable --does it have to be separate compartment

29874 with 29881 Medical Billing and Coding Forum - AAP

29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) As is true when reporting chondroplasty, there are differences between CPT® and Medicare reporting requirements when reporting arthroscopic removal of loose or foreign bodies CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) shall not be reported with other kne Under these criteria, for a non-Medicare patient, a physician would report loose or foreign body removal using CPT® 29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) with a primary service such as meniscectomy or meniscal repair (even from within the same compartment), with modifier 59 Distinct procedural service to indicate the size or separate incision criteria are met CPT codes 29874 (Surgical knee arthroscopy for removal of loose body or foreign body) and 29877 (Surgical knee arthroscopy for debridement/shaving of articular cartilage) should not be reported with other knee arthroscopy codes (29866-29889)

29874 is not coded because it is global to the primary procedure and in the same compart as was the primary procedure. 29875 is not coded because it is global to the primary procedure. Common Arthroscopic Knee Procedures It is important to note that Medicare will not allow the reporting of CPT codes 29874 and 29877 with other arthroscopic procedures performed on the same knee In the 2021 CPT Manual, the subsection guidelines will now state Arthroscopic removal of loose body(ies) or foreign body(ies) (i.e. 29819, 29834, 29861, 29874, 29894, 29904) may be reported only when the loose body(ies) or foreign body(ies) is equal to or larger than the diameter of the arthroscopic cannula(s) used for the specific procedure. CPT ® Code Set. 29874 - CPT® Code in category: Arthroscopy, knee, surgical. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code.

Reinforce Knee Arthroscopy Coding - AAPC Knowledge Cente

Based on National Correct Coding Initiative Edits, code 29874 is listed as a component code to code 29881. If a loose body is less than 5 mm and is removed from the same incision, it is included in 29881 KNEE ARTHROSCOPY Procedures and Related CPT and ICD-9 Procedure Codes CPT Code CPT Description ICD -9 Procedure 29871 Arthroscopy, knee, surgical; for infection, lavage and drainage 8016 29874 for removal of loose body or foreign body (e.g. Osteochondritis dissecans fragmentation, chondral fragmentation) 8016 29875 synovectomy, limited (e.g. Plica or shel

29874 cpt arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) knee arthroscopy 29875 cpt arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) knee arthroscop CPT codes 29874 or 29877 will not be considered for separate reimbursement when billed with primary procedure codes 29866 through 29889 inclusive. CPT code 29875 will not be considered for separate reimbursement when billed with primary procedure codes 29880 or 29881 CPT code 29866 (arthroscopy, knee, surgical; osteochondral autograft[s]) is not separately reimbursable with CPT codes 29870, 29871, 29874, 29875, 29877 and 29884 when performed at the same session. Document in the Remarks area/Additional Claim Information field (Box 19) of the claim if code 29866 was performed at a different session The code 29876 can be assigned in addition to 29881. 29877 - Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) 29879 - Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture. Note: This includes chondroplasty where necessary

CPT codes covered if selection criteria are met: 29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation 5mm or a separate incision is required to remove this loose body, append modifier 59 on 29874 and both services reimburse separately. If 29874 is performed on one knee and 29881 is performed on the opposite knee, append the appropriate LT/RT modifier to 29874 and the opposite LT/RT modifier to 29881 and both reimburse CPT codes 29877 and 29876 have now been lumped into code G0289. According to the CMS memorandum, it is inappropriate to assign and bill the following CPT codes with G0289. 29874, Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochrondritis dissecans fragmentation, chondral fragmentation) From a CPT® coding perspective, if debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then only code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving), should be reported. However, if debridement or shaving of articular cartilage is performed in one compartment of the knee.

29870 . 29871 . 29873 . 29874 . 29875 . 29876 . 29877 (preparing meals, dressing, driving, walkni g) using a standard scale, such as the . 29880 and McMaster. examples of cpt codes at time of biopsy. Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29870. Arthroscopy, knee, for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29874. Arthroscopy, knee, debridement/shaving of articular cartilage. The work associated with CPT® 29874, 29875, and 29876 are inclusive of these more extensive arthroscopic procedures, according to the American Academy of Orthopedic Surgeons (AAOS), so you should report 29874, 29875, or 29876 only. Of course, if you're billing for two separate procedures, one on each knee, these edits would not apply CPT Code: 29874. Complete Global Service Data . for Orthopaedic Surgery. 2005. 1397 . 2. American Academy of Orthopaedic Surgeons. CPT Code: 29885. Complete Global Service Data . for Orthopaedic Surgery. 2005. 1402 . 3. Centers for Medicare and Medicaid (October 1, 2005-December 31, 2005) National Correct

Also note that Medicare does not allow the reporting of CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body) and 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage) with other arthroscopic procedures performed on the same knee, even when the physician performs these services in. Additional 2012 CPT code changes By: Margie Scalley Vaught CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR 29874 or 29877 codes with either 29881 or 29880 as the CCI edits Version 18.1 states Code G0289 is a component of Column 1 code 29880 and cannot be billed using an The CPT parenthetical instruction further states that code 29826 is to be reported in conjunction with codes 29806-29825, 29827, and 29828. Effective January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) deleted language from the National Correct Coding Initiative (NCCI) Policy Manual which previously stated that the shoulder is. Blue Cross Blue Shield - Medical Policies. Type the policy name, number, CPT code, keyword or phrase to search for: Display All Documents Alphabetically. BMI Calculator | Body Surface Calculator. Administrative. Advanced Imaging. As of June 1st, 2020 BCBSKC will also be using Milliman Care Guidelines (MCG). For FAQ's and Links to MCG, click HERE

• CPT® codes 29874 (Surgical knee arthroscopy for removal of loose body or foreign body) and 29877 ((g py gSurgical knee arthroscopy for debridement/shaving of articular cartilage) should not be reported with other knee arthroscopy codes (29866-29889). • HCPCS code G0289 (Surgical knee arthroscopy for removal of loose body, foreign body. 2. Continue to report 29874 to private payors when the rules are met (separate incision or size greater than 5 mm) for those payors who recognize the traditional code. 3. Append modifier 59 to G0289 and CPT code 29874 to private payors still accepting this CPT code when the requirements for reporting this procedure are met. 4 CPT has two codes for synovectomy: 29875 for one compartment and 29876 for two or more compartments. However, this can be misleading. Consider this example: A patient has a medial meniscectomy (29881) along with both medial and lateral synovectomies. Although this is technically a two-compartment synovectomy, the medial synovectomy is included.

SIS Coding Compliance Manager Sherri Stinnett shares insight on the updates made by the American Medical Association (AMA) to CPT codes and documentation rules this year. ASC Coding Guidance: 2021 CPT Updates and Quick Tip This is the sum of the malpractice RVUs for CPT codes 29874 and 29877 beyond the malpractice RVUs for CPT code 29870, divided by two. We are not assigning any practice expense inputs to this code because it is an add-on code that will only be performed in the facility setting can you report CPT code 27310 LT ARTHROTOMY, KNEE, and CPT code 29874 Lt Arthroplasty knee, the same site on the same date of service? 0 Votes - Sign in to vote or reply. Report Abuse: Jan 13th, 2020 - ChrisW 202 1 . re: codes 27310. A CCI Edit exists with 27310. 29874 is a Column 2 code. If both 27310 and 29874 are submitted, only 27310 will.

Coding Knee Arthroscopy with Precision - AAPC Knowledge Cente

  1. Assistant Surgery Guide* The Assistant Surgeon Guide lists surgical procedures that are normally appropriate for assistant surgeons. This information is a guide only; there may be circumstances where an assistant surgeon is necessary due to complications or unusual circumstances
  2. The CPT® codes, along with ICD-9-CM or ICD-10-CM diagnostic codes, give a full picture of the patient visit. The ICD codes describe patient complaints and the CPT® codes report services provided. Medical billers use CPT® coding manuals as a guide for proper coding of each patient's visit
  3. CPT® Section Additions Deletions Revisions Evaluation & Management 2 1 17 Anesthesia 0 0 0 Surgery 11 11 28 Radiology 2 2 5 Pathology & Laboratory 34 1 8 Medicine 18 9 4 Category II 0 0 0 Category III 20 22 0 PLA 13 0 0 Totals 100 46 62 • Totals do not include codes added, deleted, or revised in CY 2020 but appearing for the first time in.
  4. CPT ® Code Set. 29873 - CPT® Code in category: Arthroscopy, knee, surgical. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code.
  5. 1National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. 1 Magellan Health Care1 2019 Hip, Knee and Shoulder Surgery Authorization and CPT Code Reference Guide 1. PROCEDURES WITHIN PROCEDURES Does the ordering surgeon need a separate request for all hip, knee and shoulde
  6. ate denied or delayed claim

Modifier 59 - The following CPT ® procedures appended with modifier 59 will not be considered for separate reimbursement when submitted with the corresponding global CPT® codes. These exclusions are terminated effective for dates of service on or after October 1, 2010. Procedure Codes that are Excluded from Modifier 59 Processin ATTENTION: Child Health and Disability Prevention (CHDP) Program Providers. Effective July 1, 2017, Partnership HealthPlan of California (PHC), in accordance with state and HIPAA standards, will be transitioning from the two-character CHDP billing code on the PM160 form to the CPT-4 national codes on the CMS-1500 form, the standard 837. (CMS), the work associated with knee arthroscopy CPT code 29876 (synovectomy, major, two or more compartments) is inclusive to more extensive arthroscopic knee procedures (29880, 29881, 29882 and 29883) performed in the same anatomic site (the same knee) and 29876 is not separately reportable. Therefore, beginning with dates of service on o We follow CPT coding guidelines requiring that modifier 59 only be used when there is no other appropriate established modifier, and only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. 2 29874, 29877: 29875³. Arthroscopic Coding CPT 29874 • CPT code 29874 - size of foreign/loose body (5mm or greater) - separate compartment - separate incision or portal Check CCI edits, CPT code 29874 bundles.

Q&A: NCCI edits and CPT Assistant Revenue Cycle Adviso

  1. CPT Code Primary Surgery Allowable Billed Groupings Additional Covered Procedures/Codes Other Procedure Names Loose Body Removal: 29874 Synovectomy: 29875, 29876 Chondroplasty: 29877 Microfracture: 29879 Misc. (see code description): G0289 Knee Surgery - Other 29867, 29870, 29873
  2. d what qualifies a visit for a 99214 or a 99204. Fam Pract Manag. 1999 Jul-Aug;6 (7):32-34. This.
  3. There are multiple CPT codes that can be associated with each procedure. These are assumed to be part of the primary surgery request and when completed in combination, do not require a separate authorization. Loose Body Removal: 29874 Synovectomy: 29875, 29876 Chondroplasty: 2987
  4. Orthopedic Billing Guidance - CPT Code 29826. Orthopedic physicians and support staff likely know that CPT code 29826 (arthroscopy, shoulder surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament release, when performed) became an add-on code on January 1, 2012. As Precision works with Orthopedic.
  5. CPT Code Description. 99217 Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital observation status if the discharge is on other than the initial date of observation status. To report services to a patient designated as observation status or inpatient status and.
  6. ation of reporting CPT 29877, arthroscopy knee, surgical; debridement/shaving of articular cartilage (chondroplasty) vs. CPT 29879, arthroscopy knee, surgical.

Coding Knee Arthroscopies Can Be Tricky - Elite Learnin

If 29874 is performed on one leg and 29886, 29887, 29888 or 29889 is performed on the other leg—then both reimburse separately and requires a Modifier LT, RT or 59 appended to the codes to show different procedures were performed on different legs Global Days Assignment List. The services described in Oxford policies are subject to the terms, conditions and limitations of the member's contract or certificate

CPT® codes 29874 (Surgical knee arthroscopy for removal of loose body or foreign body) and 29877 ((g py gSurgical knee arthroscopy for debridement/shaving of articular cartilage) should not be reported with other knee arthroscopy codes (29866-29889). • HCPCS code G0289 (Surgical knee arthroscopy for removal of loose body, foreign body CPT PROCEDURES FEE 29807 SLAP Lesion Repair $6,000.00 29822 Shoulder w/ Debridement (limited) $6,000.00 29823 Debridement (extensive) $7,100.00 29824 Distal claviculectomy (Mumford) $6,000.00 29855 Tibial plateau fracture repair (scope) $5,600.00 29871 Knee $3,840.00 29879 Knee with Microfracture $4,460.00 29874 Knee foreign body removal $3,590.0

CPT coding guidelines provide for coding multiple procedures performed on the knee in different compartments. For example, if a surgeon performs a knee arthroscopy for removal of loose or foreign bodies (29874) in a different compartment than a meniscectomy (29881), you may report code 29874 with modifier -59 (distinct procedural service) appended Page 7 Rule 40.000 Appendix III CPT-4, Correct Coding 11451 12001 12002 12004 12005 12006 12007 12011 12013 12014 12015 12016 12017 12018 12031 1203 Arthroscopic Coding CPT 29877 CPT code 29877 - separate compartment - bill only once per session 11 12. Arthroscopic Coding CPT 29874 CPT code 29874 - size of foreign/loose body (5mm or greater) - separate compartment - separate incision or portal Check CCI edits, CPT code 29874 bundles with several other arthroscopic procedure. 1 Telephone Services CPT codes 99441 - 99443 have been updated in the 2020 Medical Fee Guide. ASC Implants: To facilitate the processing of Claim for Medical Services (form C-51) in a more efficient manner, the ASC should document the exact implants and number of implants used with invoices for the implants. Implants used should be documented in the body of the operative report and noted in a.

Important Changes to 2021 CPT Codes - Arthroscopic Loose

29874 29862 Hip arthr0 w/debridement 29861 Hip arthro w/fb removal 25251 Removal of wrist prosthesis 29845 25259 Manipulate wrist w/anesthes 29866 Autgrft implnt knee w/scope 23462 Repair shoulder capsule 29806 24800 Fusion of elbow joint 24802 Fusion/graft of elbow joint 28735 28725 28730 25107 Remove wrist joint cartilage 28715 28705 28750. 29874 5113 removal of loose body or foreign body $554.80 N/A - Level 3 MSK Procedures $2,830.40 $1,335.09 29875 synovectomy, limited $512.58 N/A 5113 - Level 3 MSK Procedures $2,830.40 $1,335.09 29877 debridement/shaving of articular cartilage (chondroplasty) $640.99 N/A 5113 - Level 3 MSK Procedures $2,830.40 $1,335.0

This is Part 2 of a five part series on the new 2021 CPT codes. In this series we will explore the CPT changes for FY2021 and include some examples to help the coder understand the new codes. There are 0 new musculoskeletal CPT codes added with 0 deletions and 2 major revisions along with an extensive update to arthroscopic loose body removal. •CPT 99201 is deleted •Code selection can be based on time or medical decision making •All other E/M services will continue to use the 1995/1997 Documentation Guidelines body(ies) (i.e., 29819, 29834, 29861, 29874, 29894, 29904). Current Procedural Terminology (CPT) modifier 33 can be used when billing for ACA-designated preventive services with a commercial payer. The addition of modifier 33 communicates to a commercial payer that a given service was provided as an ACA preventive service. The CPT modifier was developed to not only account for preventive services as. musculoskeletal system - 5 new codes 22551 - arthrd ant interbody decompress cervical belw c2 22552 - arthrd ant interdy cervcl belw c2 ea addl ntrspc 29914 - arthroscopy hip w/femoroplasty 29915 - arthroscopy hip w/acetabuloplasty 29916 - arthroscopy hip w/labral repair procedure code and description 22551- arthrodesis, anterior interbody

*29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) 1. If the patient less than 18 years of age, select yes and submit the request without completing the rest of the questionnaire CPT code 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy. When this code was added, it became the parent code in the shoulder scope section per CPT guidelines-regarding intended procedures. Thus, the notes under code 29806 can technically pertain to any of the codes in the indented series with the notes indicating for open procedures. CPT Code Description Allowable Billed Groupings 27487 Revision Knee Arthroplasty 27486, 27487, 27488 29874, For Knee and Hip; If any joint surgery is to be performed bilaterally (modifier -50) on the same date of service, separate authorizations are required for each joint

CPT® Code 29874 in section: Arthroscopy, knee, surgica

Cpt Muscle Advancement Patella Reconstruction for dislocating patella with extensor realignment and muscle release. Repair of dislocating knee (29874) in a different compartment than a meniscectomy (29881), you may report code 29874 with modifier -59 (distinct procedural service) appended CPT® Code CPT® Code Description: Musculoskeletal Interventional Pain: 62321 New code effective 1/1/2017 per American Medical Association. Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not includin

When to use CPT code 29881, 29880 and G0289 together

AAOS Bulletin - June, 200

foreign bodies (29874) in a different compartment than a meniscectomy (29881), you may report code 29874 with modifier -59 (distinct procedural service) appended. CPT 29881 , 29876 -29884, 29888 - Arthroscopy, knee codes Code 73565 is used for a standing view of both knees when morphology (form and structure) is examined. This examination. The general correspondence language paragraphs explain the rationale for the edits. The section-specific examples add further explanation to the PTP or MUE edits and are sorted by edit rationale and CPT code section (00000, 10000, 20000, etc.). Please refer to the Introduction of this Manual for additional guidance about its use CPT Code Primary Surgery Allowable Billed Groupings Additional Covered Procedures/Codes Ancillary Procedures/Codes Other Procedure 29874 Synovectomy: 29875, 29876 Chondroplasty: 29877 Microfracture: 29879 G0289 Knee Surgery - Other 29879 27412, 27415, 27416, 27418, 27420, 27422 Based on the answers to the four questions above, we can determine that CPT code 60220 is the right code for this procedure. The description for this CPT code tells us that it is used to report a total lobectomy of the thyroid (removal of one lobe in its entirety) with or without removal of the isthmus (the small piece of tissue that is located.

For dates of service through September 30, 2011, providers should bill CPT code 29874 or 29877 with the primary ar-throscopy CPT codes 29866-29889, even though the claim will deny for NCCI editing. Upon receiving the NCCI denial, providers should submit a request for an administrative review, along with the appropriate medical documentation t 99214. 25 minutes. $110.43. 99215. 40 minutes. $148.33. ( Source) Other Medicare rates for CPT code 99213 are $81.62, in WA in King County, so it depends on the locality. Source

CPT code 29806 , 29822 - 29823, 29824, 29826, 29827

  1. When searching the MCD for a CPT/HCPCS code, the modifier should be removed. (E.g., only 76942 or 98941 would be entered.) When viewing a document (e.g., a Billing and Coding Article) the user may want to then search within the document (CTRL+F) to look for the modifier code. Close
  2. Where To Download Cpt Code Extensor Realignment Knee Cpt Code Extensor Realignment Knee In the CPT book, the 20924 code for the (29874) in a different compartment than a meniscectomy (29881), you may report code 29874 with modifier -59 (distinct procedural service) appended
  3. Yes, CPT code 29881 (meniscectomy) and CPT code 29870 (diagnostic arthroscopy) are reportable during the same operative session when they are independently performed on different knees. Use of modifiers may be payor dependent. According to CPT rules, you would report 29881 and 29870-59
  4. 29861 . 29862 : 29863 . 29870 : 29873 . 29874 : 29875 . 29876 : 29877 . 29879 : 29880 . 29881 : 29882 . 29883 : 29884 . 29885 : 29886 . 29887 : 29888 . 29889 : 29891.
  5. CPT Codes 20000 - 29999 The principles of correct coding discussed in Chapter I apply to the CPT codes in the range 20000-29999. Several general guidelines are repeated in this Chapter. However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. Physicians should report th
  6. Prior authorization required 23470 23472 23473 23474 24360 24361 24362 24363 24365 24366 24370 24371 25332 25441 25442 25443 25444 25445 25446 2544

Code selection for the description above would be CPT 29879 x 2 rather than CPT 29877 x 1. 2. Reporting 29879 incorrectly when performed in separate compartment as opposed to 29877 x 1 regardless of the number of compartments performed As indicated in the preceding description above, the correct CPT code selection is 29879; 29879-59 Prior authorization required 19316 19318 19325 19328 19330 19340 19342 19350 19357 19361 19364 19367 19369 19370 19371 19380 19396 L860

CPT 29881 , 29876 -29884, 29888 - Arthroscopy, knee codes

The lateral synovectomy, CPT 29875, is inclusive in the lateral meniscectomy procedure reported with CPT 29881. Only the medial compartment will have a final synovectomy reporting of CPT 29875. Medial = 29875. Lateral = 29875 + 29881 = 29881 (CPT 29875 bundles into 29881) Patellofemoral = n/a. The correct codes for the example listed above are. Under these criteria, for a non-Medicare patient, a physician would report loose or foreign body removal using CPT® 29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) with a primary service such as meniscectomy or meniscal repair (even from within. I want it to filter for 29881 and 29874. I have tried both the AND and OR. When using the OR, the only table that is produced is with 29881 values and no 29874. What I want to do is have several codes in. Basically, I want it to look pull data from the CPT 1 column for 29881, 29874, 29115 and 2122

ARTHROSCOPY CPT 29871,29875 AND covered diagnosis

CPT codes G0428 Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex) and S2300 Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy are investigational and are not covered and not reimbursable Under these criteria, for a non-Medicare patient, a physician would report loose or foreign body removal using CPT® 29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) with Prior authorization required 19316 19318 19325 19328 19330 19340 19342 19350 19357 19361 19364 19367 19368 19369 19370 19371 19380 19396 L860 Single sign-on with One Healthcare ID . As of July 1, 2021, you have the option to sign in to EncoderPro.com using either your existing credentials or your One Healthcare ID Arial,Regular 4 2016 List of Face to Face Encounter Codes Arial,Regular11/17/2016 Arial,RegularVersion 2.0. HCPCS/CPT CODE High Level Category/Descriptio

Code Code Type Description Categor

Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross and Blue Shield Association. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross and Blue Shield Association CPT-29870, CPT-29873, CPT-29874, CPT-29875, CPT-29876, CPT-29884: Knee Arthroscopy- Chondral Procedures: CPT-29877, CPT-29879, CPT-29885, CPT-29886, CPT-29884: Knee Arthroscopy- Meniscus Procedure: CPT-29880, CPT-29881, CPT-29882, CPT-29883: Knee Arthroscopy- Ligamentous Reconstruction: CPT-29888, CPT-29889: Unicompartmental Knee Arthroplast Prior authorization required 19318 19324 19325 19328 19330 19340 19342 19350 19357 19361 19364 19366 19367 19368 19369 19370 19371 19380 1939 08/03/20 removed CPT code 27438 and 27488; added CPT code 27438 and 29877 STRIDE sm (HMO) MEDICARE ADVANTAGE Hip/Knee/Shoulder Surgery and Prior Authorization (cont.

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