tci Part B Insider - 2016 Issue 37

Part B Coding Coach: Master the 'Multiple Scope' Rule with These Tips for Endoscopy Coding

For a better understanding of multiple scopes review codes 29805, 29806, 29807, and 29819. Your orthopedic surgeon performs a knee arthroscopy but does several procedures. One thing is for certain: you’ll need to understand the multiple-scope rule to determine which procedures you can actually claim — and get paid for. Important orthopedic exception: Keep in mind that the multiple-scope rule applies mainly to shoulder and knee procedures in the orthopedic practice, but it also affects those of the elbow, wrist and hip. On the other hand, it does not apply to ankle or metacarpophalangeal (MCP) arthroscopy, and it...

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