AMA CPT® Assistant - 2014 Issue 1 (January)

Surgery: Musculoskeletal System (Q&A) (January 2014)

January 2014 page 9 Surgery: Musculoskeletal System Question: What Current Procedural Terminology (CPT®) code should be reported for a subchondroplasty procedure of the knee? Answer: The subchondroplasty procedure is a minimally invasive repair designed to treat subchondral bone defects associated with chronic bone marrow lesions by filling them with a bone-substitute material. There is no specific CPT code that accurately describes this service; therefore, unlisted code 27599, Unlisted procedure, femur or knee, should be reported. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure report) along with...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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