AMA CPT® Assistant - 2017 Issue 3 (March)
Surgery: Musculoskeletal System (Q&A) (March 2017)
March 2017 page 10a Surgery: Musculoskeletal System Question: What is the appropriate code to report the excision of a bony ossicle on the knee caused by Osgood-Schlatter disease? Answer: Currently, there is no specific CPT code that describes this procedure. Therefore, code 27599 , Unlisted procedure, femur or knee, may 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 the claim to provide an adequate description of the nature, extent, and need for the procedure; and the time, effort, and equipment necessary to provide...
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Article Overview
This March 2017 CPT Assistant Q&A focuses on a musculoskeletal surgery coding question involving the knee and the use of an unlisted CPT procedure code when no specific code is available. It is relevant to professional coders, billers, and orthopedic practices that need to understand the article’s general coding topic, documentation emphasis, and applicability to a knee procedure discussion.
Why This Topic Matters
The article helps coding professionals identify whether a musculoskeletal knee procedure is addressed in CPT guidance and understand that the discussion centers on reporting a service when a dedicated code is not present.
What You Will Learn
- The general coding topic addressed in a musculoskeletal surgery Q&A format.
- How the article frames a procedure when a specific CPT code is not available.
- The documentation context associated with reporting an unlisted procedure code.
- The specialty and publication context of the guidance.
Who Should Read This
- Medical coders
- Medical billers
- Orthopedic practice staff
- Revenue cycle professionals
Codes Discussed
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