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Microfracture Technique

Kirsten Posted Tue 02nd of February, 2016 14:23:20 PM

My Doc has 3 cases coming up. An open cheilectomy for hallux rigidus with microfracture technique to the proximal phalanx and 1st metatarsal head, an ankle arthroscopy (with microfracture technique to the tibia and the talus. Excision of lesion is as yet unknown), and an elbow arthroscopy with possible microfracture technique to the ulna/humerus.
I know that you can charge for microfracture technique to the knee with 29879. (You also told me in an earlier post that 29823- Extensive debridement of the shoulder also includes microfracture technique), however, we cannot charge for it or get paid for it because you cannot charge for a debridement in the same shoulder when another procedure is being performed (Rotator cuff repair, distal clavicle excision, etc...) according to NCCI edit.
So, to put this issue to rest once and for all, can we charge for arthroscopic microfracture technique on any other joint than the knee? (Ankle, elbow, etc....) And if so, what codes do we use?
Thank you so much for your assistance.

SuperCoder Answered Wed 03rd of February, 2016 02:02:40 AM

“AAE does not provide coding for operative reports and chart notes."

SuperCoder offers SuperCoding on Demand (SOD) (http://www.supercoder.com/coding-answers/coding-on-demand) for coding of an operative report or chart note and you can contact (866)228-9252 or e-mail customerservice@supercoder.com for more information.

Thank you.

Kirsten Posted Wed 03rd of February, 2016 09:14:06 AM

What codes can we use for microfracture technique of joints other than the knee, or can we charge for it at all?

SuperCoder Answered Wed 03rd of February, 2016 23:52:06 PM

Microfracture is a surgical technique used to repair damaged articular cartilage by making multiple small holes in the surface of the joint to stimulate a healing response. As per the arthroscopic procedure it includes microfacture like techniques. Hence, there is no need to bill separately for microfracture.

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