tci Part B Insider - 2004 Issue 36

CPT 2005: Start Rethinking Osteochondral Procedures Coding Today

You'll have more options for PET tumor imaging claimsIf you've been feeling your OATS, then you'll welcome three new codes in 2005.Procedures such as OATS and Mosaicplasty harvest osteochondral cores from a non-weight-bearing region of the femur and implant them into chondral defects in a patient's knee. Until now, the only code for these procedures was Category III code 0012T, which was sometimes difficult to obtain payment for, according to coder Maureen Pulcini with Pamlico Orthopedics in Washington, NC. Generally, she would send a letter along with the 0012T claim explaining the procedure, and hope to obtain payment...

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