Chondroplasty: Two issues persist for chondroplasty: getting paid in an ASC for G0289 and denials for deleted code 29877. Check out our proven tips for payment

Why This Topic Matters

Coding staff and orthopaedic practices may face denials or inconsistent payment if payer systems are not aligned with current chondroplasty billing and fee schedule guidance. Understanding the article helps readers recognize that handling can vary by payer, setting, and updated CMS instructions.

Article Sections

1. Payment and denial issues for chondroplasty claims

   Introduces the reimbursement problems discussed in the article and the settings in which they arise. Summarizes the two main payment and denial topics covered later in the piece.

2. Older claim denials and resubmission context

   Covers historical claim-processing issues involving an older chondroplasty code and related claim timing. Describes the operational context for addressing improper denials.

3. Ambulatory surgery and physician payment variation for G0289

   Explains differences in how Medicare carriers and other payers handled payment in facility and physician contexts. Notes variation among states, carriers, and payer types.

4. Fee schedule and RVU correction update

   Discusses CMS-related corrections and database updates affecting relative value information for the code. Focuses on the administrative changes that created confusion and were later corrected.