Wiki Bicompartmental MAKOplasty

[caromissunc1]

How are y'all coding for bicompertmental MAKOplasties for knees when they are the medial or lateral and the patellofemoral compartments? 27446? 27447? I cannot do 27446 and 27438 because of the bundling issue. I have been told 27446 and the MAKO code and I have been told 27447 because it is bicompartmental. Any assistance is appreciated. Thanks!

 

[caromissunc1]

Actually, I got my own answer. I will share with you. If only PF compartment is done, it is 27438 + MAKO code. If either medial or lateral compartment is done, it is 27446 + MAKO code. If medial OR lateral AND patellofemoral are done, it is 27446 and 27438-59 + MAKO code. The reason why you can combine these two codes is because the patella arthroplasty is included in CPT 27447, but it is NOT included in 27446. Happy coding!