Maximize Reimbursement for ACI Procedures
Published on Mon May 01, 2000
Is an unlisted code always the best one for a new procedure? Expert coders say yes. But a leading marketer of autologous chondrocyte implantation (ACI) offers a different recommendationcoding for the biopsy/harvesting and then for the implant.
Carticel, Patented TechniqueExperts Disagree
In September 1997, Genzyme Corporation won FDA approval for its ACI technique (Carticel), which promises a culture return of 12 million cells. So far, the procedure has approval only for hyaline cartilage on the femur.
Glen Booma, associate director of marketing and reimbursement in outcomes research at Genzyme, explains the recommendations Genzyme makes for coding the procedure. Booma notes the two-step coding requires the use of a code for the biopsy/harvesting and another for the implant that occurs several weeks later. He says practices typically lump [harvesting] together with another procedure.
Blair Filler, MD, expert coder and director of medical education at Los Angeles Orthopedic Hospital, says, The only safe and reasonable way to code this procedure is with 27599 (unlisted procedure, femur or knee) in both the first and second surgery. He explains that modifier -58 (staged or related procedure or service by the same physician during the postoperative period) is also usually in order for the implantation (second) surgery.
Working with payers on a regional basis, Genzyme has come up with specific coding recommendations according to Booma. But Filler and Susan Callaway-Stradley, CPC, CCS-P, an independent coding consultant and educator in North Augusta, S.C., see the use of the codes for harvesting as far too much of a stretch. Filler and Callaway-Stradley do not advise using the unique CPT codes Genzyme recommends for harvesting. Instead, they say coders should stay with the unlisted code.
Booma says in many cases one of three arthroscopic codes can be used to describe the harvesting. They are 29870 (arthroscopy, knee, diagnostic, with or without synovial biopsy, separate procedure), 29874 (arthroscopy, knee, surgical; for infection, lavage and drainage for removal of loose body or foreign body, e.g., osteochondritis dissecans fragmentation, chondral fragmentation), or 29877 (debridement/shaving of articular cartilage, chondroplasty).
Callaway-Stradley gives one example of why she would not use any of the unique codes for harvesting. The definition for 29874 implies that some ongoing disease process is being treated, that in other words, chondral fragmentation has occurred and is being removed because it is problematic, not that a sample of healthy tissue is being removed. She recommends calling the carrier first.
How Do Payers Respond to Carticel?
Roughly three-quarters of patients [via their physicians] who ask for approval get it, says Booma. And that is with mandated third-party reviews.
Standing BlueCross BlueShield of Massachusetts (BCBS-Mass.) policy regarding ACI, effective April 1998 (reviewed March 1999) illustrates one carriers approach.
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