Reader questions:
Include synovectomies with larger procedure
Published on Mon Nov 02, 2009
Question:
Our orthopedist performed several procedures during a session: • Knee arthroscopy with partial menisectomy, debrided with chondromalacia, and three compartment synovectomy
• Grade 3 chondromalacia debridement
• Partial menisectomy of complex posterior horn medial meniscus
• Debridement of radial tear lateral meninscus.
What's the best way to code this service?
Texas Subscriber
Answer:
Start with 29880 (
Arthroscopy, knee, surgical; with meniscectomy [medial and lateral, including any meniscal shaving]), which includes the synovectomies in the medial and lateral components. Because 29880 doesn't represent the patello-femoral compartment, report 29875 (
... synovectomy, limited [e.g., plica or shelf resection] [separate procedure]) with modifier 59 (
Distinct procedural service).