tci Part B Insider - 2013 Issue 28

Reader Question: Chondroplasties Are Inclusive to Meniscectomies

Question: What percentage of the meniscus must the surgeon remove before we should bill the meniscectomy code instead of the chondroplasty code? Also, our orthopedic surgeon performed a medial meniscectomy with lateral and patellar chondroplasties on a Medicare patient. Which codes should we report? Answer: Let’s address your first question. The orthopedic surgeon does not need to document any particular percentage of meniscus removal to report the meniscectomy codes. The meniscectomy is a completely different procedure from chondroplasty.  Op note hint: If the surgeon documents that he cleaned out a meniscal tear with an arthroscopic shaver, he...

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