tci Medicare Compliance & Reimbursement - 2004 Issue 30

Coverage: NCD A Washout For Arthroscopic Lavage

Why your arthritic patients may be turning away.Providers hoping the Centers for Medicare & Medicaid Services would bend on its non-coverage of arthroscopic lavage and debridement for osteoarthritic knees got the thumbs down, according to a June 11 national coverage determination.      CMS said that the surgical procedure, which allows the direct visualization of the interior joint space of the knee to enable joint cleansing and removal of any loose bodies, is generally performed to reduce pain and improve function. However, scientifically controlled studies have not proven it to be clinically effective for the...

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