Coding Correction: Arthroscopically Assisted Repair of Stress Injury Related to Bone Marrow Lesion (November 2019)

November 2019 page 13 Coding Correction: Arthroscopically Assisted Repair of Stress Injury Related to Bone Marrow Lesion In the Surgery/Musculoskeletal System section of the Frequently Asked Questions (FAQ) of the September 2018 issue of CPT® Assistant (page 14), an answer incorrectly stated that code 29855, Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy), is the appropriate code to report a percutaneous arthroscopically assisted internal fixation of a stress injury with bone marrow lesion (also known as a bone bruise) of the medial tibial plateau. See below for the revised FAQ, which...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant correction clarifies revised guidance for a musculoskeletal surgery FAQ and explains the general reporting considerations for an arthroscopically assisted procedure involving a stress injury with a bone marrow lesion. It is relevant to coders, billers, and surgical practices that work with CPT reporting, especially when dealing with unlisted arthroscopy services and documentation support.

Why This Topic Matters

It helps readers identify that the original FAQ guidance was corrected and highlights the need to review CPT coding resources carefully when a procedure does not match a specific listed code.

Article Sections

  1. Coding Correction: Arthroscopically Assisted Repair of Stress Injury Related to Bone Marrow Lesion

    Introduces the correction notice and identifies the CPT Assistant FAQ being revised.

  2. Surgery: Musculoskeletal System

    Presents the revised FAQ in a musculoskeletal surgery context and addresses the general reporting issue raised by the scenario.

  3. Question

    Describes the clinical scenario and the coding question posed in the revised FAQ.

  4. Answer

    Summarizes the corrected coding guidance and related documentation considerations discussed in the article.

What You Will Learn

  • How a CPT Assistant correction notice is structured
  • What topic area the revised FAQ addresses
  • Why unlisted procedure reporting may be discussed in this type of correction
  • The type of documentation considerations associated with unlisted services

Who Should Read This

  • Medical coders
  • Coding auditors
  • Orthopedic surgery billing staff
  • Revenue cycle professionals
  • Physician practices

Codes Discussed


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