Wiki arthroscopic removal of osteophyte knee

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scooter1

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What code would you suggest for arthroscopic removal of osteophyte fromt the intercondylar notch. Patient also had a medial menisectomy. The report reads:

The scope was passed into the intercondylar notch and there was a large osteophyte
attached to the anterior ACL. It was impinging on the femoral condyle. This was removed to try to prevent any impingement.

I thought about 29881 and 29874 ( G0289). But not sure. Any suggestions ?
 
I agree with a -59 modifier, and if denied rebill after Oct. 1, 2012. The National Correct Coding Initiative (CCI) will change the modifier indicator to a '1' to allow us to append the 59 when performed in a separate compartment.
 
My concern w/29874 is what is the diagnosis code being used? The code is descibed as loose body or foreign body removal. Is an osteophyte considered loose body/foreign body? I am coding same procedure but not sure if I should charge more than 29881 for the meniscectomy??? :confused:
Any clarification would be most helpful :)
 
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