Wiki 29880 and G0289

eferris

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I have a question that I'm hoping I can get some help on.

One of our doc billed out the following for one of our medicare patients

29880/LT-Arthroscopy surgical wtih meniscectomy medial and lateral including any menical shaving. diagnosis code 836.0

G0289-Arthoscopy knee surgical for removal of loose body foreign body debridement /shaving of articular cartilage (chrondroplasty at the time of other surgical knee arthroscopy in a different compartment of the same knee. diagnosis code 715.36.

I know the usual denial that happens is that the G code is included in the other arthroscopy. This one denied as not medically necessary? When i called they pointed me to the LCD and from what i can see we billed everything out correctly. I was wondering if anyone else had come up against this issue before.

Any suggestions would be helpful.

Thanks :)
 
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