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49520	RPR RECURRENT ING HERNIA REDU	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49525	Repair ing hernia sliding	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49561	VENTRAL INITIAL INCARCERATE STRANGULATED	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49521	Rerepair ing hernia blocked	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
43336	Thorabd diaphr hern repair	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49587	UMBILICAL INCARCERATED STRANGULATED	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49566	VENTRAL RECURRENT INCARCERA STRANGULATED	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
39501	Repair diaphragm laceration	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
C1781	Y SENSOR NEONATAL DISPOSABLE	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49652	Lap vent/abd hernia repair	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49655	Lap inc hern repair comp	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49500	Rpr ing hernia init reduce	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49650	RPR HERNIA ING LAP	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49656	Lap inc hernia repair recur	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
49651	Repair of recurrent groin hernia using an endoscope	HCPCS	On the other hand, laparoscopic is a less invasive technique where several small incisions are made in your abdomen, thereby allowing the surgeon to use various special instruments to repair the hernia. General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes, HCPCS codes and MS-DRG codes for reporting hernia on your medical claims. ICD -10 Codes to Indicate a Diagnosis of Hernia K40 – Inguinal hernia - K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene - K40.1 – Bilateral inguinal hernia, with gangrene - K40.2 – Bilateral inguinal hernia, without obstruction or gangrene - K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene - K40.4 – Unilateral inguinal hernia, with gangrene - K40.9 – Unilateral inguinal hernia, without obstruction or gangrene K41 – Femoral hernia - K41.0 – Bilateral femoral hernia, with obstruction, without gangrene - K41.1 – Bilateral femoral hernia, with gangrene - K41.2 – Bilateral femoral hernia, without obstruction or gangrene - K41.3- Unilateral femoral hernia, with obstruction, without gangrene - K41.4 – Unilateral femoral hernia, with gangrene - K41.9 – Unilateral femoral hernia, without obstruction or gangrene K42 – Umbilical hernia - K42.0 – Umbilical hernia with obstruction, without gangrene - K42.1 – Umbilical hernia with gangrene - K42.9 – Umbilical hernia without obstruction or gangrene K43 – Ventral hernia - K43.0 – Incisional hernia with obstruction, without gangrene - K43.1 – Incisional hernia with gangrene - K43.2 – Incisional hernia without obstruction or gangrene - K43.3 – Parastomal hernia with obstruction, without gangrene - K43.4 – Parastomal hernia with gangrene - K43.5 – Parastomal hernia without obstruction or gangrene - K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene - K43.7 – Other and unspecified ventral hernia with gangrene - K43.9 – Ventral hernia without obstruction or gangrene K44 – Diaphragmatic hernia - K44.0 – Diaphragmatic hernia with obstruction, without gangrene - K44.1 – Diaphragmatic hernia with gangrene - K44.9 – Diaphragmatic hernia without obstruction or gangrene K45 – Other abdominal hernia - K45.0 – Other specified abdominal hernia with obstruction, without gangrene - K45.1 – Other specified abdominal hernia with gangrene - K45.8 – Other specified abdominal hernia without obstruction or gangrene K46 – Unspecified abdominal hernia - K46.0 – Unspecified abdominal hernia with obstruction, without gangrene - K46.1 – Unspecified abdominal hernia with gangrene - K46.9 – Unspecified abdominal hernia without obstruction or gangrene - 49492 – Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks post conception age, with or without hydrocelectomy; incarcerated or strangulated - 49495 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible - 49496 – Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated - 49500 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible - 49501 – Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated - 49505 – Repair initial inguinal hernia, age 5 years or older; reducible - 49507 – Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated - 49520 – Repair recurrent inguinal hernia, any age; reducible - 49521 – Repair recurrent inguinal hernia, any age; incarcerated or strangulated - 49525 – Repair inguinal hernia, sliding, any age - 49650 – Laparoscopy, surgical; repair initial inguinal hernia - 49651 – Laparoscopy, surgical; repair recurrent inguinal hernia - 43332 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis - 43333 – Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis - 43334 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis - 43335 – Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis - 43336 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis - 43337 – Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis - 49580 – Repair umbilical hernia, younger than age 5 years; reducible - 49582 – Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated - 49585 – Repair umbilical hernia, age 5 years or older; reducible - 49587 – Repair umbilical hernia, age 5 years or older; incarcerated or reducible - 49550 – Repair initial femoral hernia, any age; reducible - 49553 – Repair initial femoral hernia, any age; incarcerated or strangulated - 49555 – Repair recurrent femoral hernia; reducible - 49557 – Repair recurrent femoral hernia; incarcerated or strangulated - 49560 – Repair initial incisional or ventral hernia; reducible - 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated - 49565 – Repair recurrent incisional or ventral hernia; reducible - 49566 – Repair recurrent incisional or ventral hernia; incarcerated or strangulated - +49568 – Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) - 49652 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible - 49653 – Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49654 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible - 49655 – Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49656 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible - 49657 – Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated - 49570 – Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) - 49572 – Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated - 39501 – Repair, laceration of diaphragm, any approach - 39503 – Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia - 39541 – Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic - C1726 – Catheter, balloon dilatation, non-vascular - C1781 – Mesh (implantable) - C9364 – Porcine implant, permacol, per square centimeter Repair of Diaphragmatic Hernia (Hiatal Hernia, Paraesophageal Hernia) - 326 – Stomach, Esophageal and Duodenal Procedures W MCC - 327 – Stomach, Esophageal and Duodenal Procedures W CC - 328 – Stomach, Esophageal and Duodenal Procedures W/O CC/MCC Hernia Repair – Inguinal, Femoral - 350 – Inguinal and Femoral Hernia Procedures W MCC - 351 – Inguinal and Femoral Hernia Procedures W CC - 352 – Inguinal and Femoral Hernia Procedures W/O CC/MCC Hernia Repair – Other (Epigastric, Incisional/Ventral, Lumbar, Parastomal, Spigelian, Umbilical) - 353 – Hernia Procedures Except Inguinal and Femoral W MCC - 354 – Hernia Procedures Except Inguinal and Femoral W CC - 355 – Hernia Procedures Except Inguinal and Femoral W/O CC/MCC Integrating positive lifestyle habits can help treat the symptoms of hernia in the long run. These include – making dietary changes, avoiding large or heavy meals, stopping the habit of smoking and doing certain kind of exercises (that help strengthen the muscles around the hernia site) and maintaining a healthy body weight. Medical billing and coding requires knowledge regarding the right coding modifiers and payer-specific medical billing are essential for correct and on-time reimbursement.
93784	PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R	HCPCS	ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components.
93786	PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY	HCPCS	ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components.
93788	PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R	HCPCS	ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components.
93790	PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R	HCPCS	ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components.
93784	PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R	HCPCS	However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only.
93786	PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY	HCPCS	However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only.
93788	PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R	HCPCS	However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only.
93790	PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R	HCPCS	However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only.
93788	PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R	HCPCS	Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria.
93784	PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R	HCPCS	Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria.
93786	PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY	HCPCS	Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria.
A4670	Automatic bp monitor, dial	HCPCS	Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria.
93790	PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R	HCPCS	Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria.
93788	PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R	HCPCS	There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
93784	PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R	HCPCS	There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
93786	PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY	HCPCS	There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
A4670	Automatic bp monitor, dial	HCPCS	There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
93790	PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R	HCPCS	There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring: - 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report - 93786: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only - 93788: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report - 93790: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report Although there are four CPT codes related to ABPM, only three of them are covered by Medicare. It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
93784	PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R	HCPCS	It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
93786	PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY	HCPCS	It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
A4670	Automatic bp monitor, dial	HCPCS	It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
93790	PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R	HCPCS	It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspected WCH is - A4670 Automatic blood pressure monitor Covered ICD-10-CM Diagnosis Codes for ABPM include: - I10: Essential (primary) hypertension - I11.9: Hypertensive heart disease without heart failure - I20.8: Other Forms of Angina Pectoris - I95.1: Orthostatic Hypotension - R03.0: Elevated blood pressure reading, without diagnosis of hypertension - R55: Syncope and collapse - Z01.30: Encounter for examination of blood pressure without abnormal findings - Z01.31: Encounter for examination of blood pressure with abnormal findings For the Medicare Advantage Policy, Place of Service Codes for ABPM include: - 11: Office - 12: Home - 13: Assisted Living Facility - 14: Group Home - 19: Off Campus-Outpatient Hospital - 22: On Campus-Outpatient Hospital - 26: Military Treatment Facility - 32: Nursing Facility - 33: Custodial Care Facility - 49: Independent Clinic - 50: Federally Qualified Health Center - 71: Public Health Clinic - 72: Rural Health Clinic It is important to remember that ABPM must be performed for at least 24 hours to meet coverage criteria. Medical billing and coding services provided by reliable companies are based on the standard guidelines for ABPM coverage.
93762	Peripheral Thermogram	HCPCS	For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. POLICY HISTORY7/1993: Issued 2/14/2002: Investigational definition added 5/8/2002: Type of Service and Place of Service deleted 5/14/2002: Code Reference section completed 6/23/2004: Policy reviewed, Description section aligned with BCBSA policy # 6.01.12, Sources updated 8/25/2005: Code Reference section reviewed, no changes 3/5/2008: Policy reviewed, no changes 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions 3/30/2009: Policy reviewed, no changes 07/30/2010: Policy description updated regarding FDA status of devices. FEP verbiage added to the Policy Exceptions section. Removed deleted codes 93760 and 93762 from the coding section as they were deleted on 12/31/2008, and added 93799.
93760	Cephalic Thermogram	HCPCS	For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. POLICY HISTORY7/1993: Issued 2/14/2002: Investigational definition added 5/8/2002: Type of Service and Place of Service deleted 5/14/2002: Code Reference section completed 6/23/2004: Policy reviewed, Description section aligned with BCBSA policy # 6.01.12, Sources updated 8/25/2005: Code Reference section reviewed, no changes 3/5/2008: Policy reviewed, no changes 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions 3/30/2009: Policy reviewed, no changes 07/30/2010: Policy description updated regarding FDA status of devices. FEP verbiage added to the Policy Exceptions section. Removed deleted codes 93760 and 93762 from the coding section as they were deleted on 12/31/2008, and added 93799.
93799	HC UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE	HCPCS	For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. POLICY HISTORY7/1993: Issued 2/14/2002: Investigational definition added 5/8/2002: Type of Service and Place of Service deleted 5/14/2002: Code Reference section completed 6/23/2004: Policy reviewed, Description section aligned with BCBSA policy # 6.01.12, Sources updated 8/25/2005: Code Reference section reviewed, no changes 3/5/2008: Policy reviewed, no changes 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions 3/30/2009: Policy reviewed, no changes 07/30/2010: Policy description updated regarding FDA status of devices. FEP verbiage added to the Policy Exceptions section. Removed deleted codes 93760 and 93762 from the coding section as they were deleted on 12/31/2008, and added 93799.
27446	Revision of knee joint	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29884	PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29855	Tibial arthroscopy/surgery	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
27486	REVISION TKA	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29999	Unlisted px arthroscopy	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29875	PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
27487	Revision of thigh and lower leg bone components of total knee joint prosthesis	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
27447	Total knee arthroplasty	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29870	PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29866	PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29889	PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
27438	Revise kneecap with implant	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29876	PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29881	Removal of knee cartilage using an endoscope	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29888	Repair of anterior cruciate ligament of knee using an endoscope	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29850	PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29882	PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29883	PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
G0289	PR ARTHRO, LOOSE BODY + CHONDRO	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29856	Tibial arthroscopy/surgery	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29879	PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29851	PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29880	Removal of both knee cartilages using an endoscope	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29874	PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29868	PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29867	PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
29877	Removal or shaving of knee joint cartilage using an endoscope	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
20000	Incision of abscess	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
27488	REMOVAL PROSTHESIS	HCPCS	Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
27446	Revision of knee joint	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29884	PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29855	Tibial arthroscopy/surgery	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
27486	REVISION TKA	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29999	Unlisted px arthroscopy	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29875	PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
27487	Revision of thigh and lower leg bone components of total knee joint prosthesis	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
27447	Total knee arthroplasty	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29870	PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29866	PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29889	PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
27438	Revise kneecap with implant	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29876	PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29881	Removal of knee cartilage using an endoscope	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29888	Repair of anterior cruciate ligament of knee using an endoscope	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29850	PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29882	PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29883	PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
G0289	PR ARTHRO, LOOSE BODY + CHONDRO	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29856	Tibial arthroscopy/surgery	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29879	PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29851	PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29880	Removal of both knee cartilages using an endoscope	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29874	PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29868	PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29867	PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
29877	Removal or shaving of knee joint cartilage using an endoscope	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
20000	Incision of abscess	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
27488	REMOVAL PROSTHESIS	HCPCS	Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage. CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
27446	Revision of knee joint	HCPCS	CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments). - CPT code 29875 shall not be reported with another arthroscopic knee procedure on the ipsilateral knee.
29884	PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX	HCPCS	CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft[s]) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 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 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) Knee Arthroplasty CPT Codes 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes: - CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889). - Since CPT codes 29880 and 29881 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 removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments). - CPT code 29875 shall not be reported with another arthroscopic knee procedure on the ipsilateral knee.

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