Arthroscopic Lavage: CMS says dx of pain for OA knees not covered

Article Overview

This article reviews a CMS national coverage decision that changed how arthroscopic lavage and related arthroscopic knee services are treated for Medicare coverage purposes. It is relevant to orthopedic practices, coding professionals, and billing staff who need to understand the coverage status, documentation expectations, and diagnosis coding impact associated with knee osteoarthritis and knee pain claims. The discussion also references local contractor policies and the broader need to support medical necessity with appropriate records.