Wiki 29876 Major Synovectomy

cherylbr

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Hello All!

AAPC Healthcare Business Monthly February 2020 has an article on Coding Knee Arthroscopy with Precision. To report Major Synovectomy code 29876 the documentation must establish pathologic synovial disease is present and the surgeon should document the medical necessity and performance of this.

I have a question. Here it is: What conditions/diagnosis is considered pathologic synovial disease? Is synovitis with hypertrophic synovium considered pathologic synovial disease? What type of documentation to support medical necessity and performance is needed? Please give an example. Would documentation in the operative note of three compartment hypertrophic synovitis with synovectomy performed in all three compartments be sufficient?

All input would be greatly appreciated!

Thank you,
Cheryl
 
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