Dawn Posted Thu 21st of January, 2016 16:39:44 PM
several coders in my company are in disagreement about billing 29873 with 29877. cci edits say you can not. AAOS states 29877 is not part of global package for 29873. carriers are denying. would love some input. thanks.
SuperCoder Answered Fri 22nd of January, 2016 05:18:56 AM
Yes, you are correct. CCI edits shows bundling of CPT code 29877 into 29873. But some payer reimburse it separately when performed in separate compartment and billed with -59 modifier (29877-59). Few payers and Medicare strictly deny the CPT 29877, when billed with CPT 29873. In this case, bill HCPCS code G0289 (Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee), if performed in separate compartment. For more information, read article on below mentioned link: https://www.supercoder.com/coding-newsletters/my-orthopedic-coding-alert/ncci-scopes-new-knee-surgery-edits-article