Desperate Denise
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Here is a knee surgery I am having difficulty with - The payor is BS OF MASS.
Patient had an ORIF of a tibial plateau with plates and screws several years ago and has had knee pain refractory to nonoperative management.
The doc found through the arthroscopy - synovitis in the suprapatellar pouch, chondromalacia patellofemoral joint, lateral meniscus tear. He also removed the plates and screws status post lateral tibial plateau ORIF.
These are the procedures listed: ANY HELP WILL BE GREATLY APPRECIATED!!!
Arthroscopic partial synovectomy, chondroplasty of the patellofemoral joint and lateral compartment, partial lateral meniscectomy and then OPEN removal of plates and screws s/p lateral tibial plateau ORIF with bone grafting for the defects left from the screw removals. He used Grafton and cancellous chips.
I would think I cannot bill for the partial synovectomy and chondroplasty of the lateral compartment for OA but I am confused about the modifiers and how to code the open hardware removal with bone grafting.
Thanks for any help - HAPPY AND HEALTHY NEW YEAR!!!!
Patient had an ORIF of a tibial plateau with plates and screws several years ago and has had knee pain refractory to nonoperative management.
The doc found through the arthroscopy - synovitis in the suprapatellar pouch, chondromalacia patellofemoral joint, lateral meniscus tear. He also removed the plates and screws status post lateral tibial plateau ORIF.
These are the procedures listed: ANY HELP WILL BE GREATLY APPRECIATED!!!
Arthroscopic partial synovectomy, chondroplasty of the patellofemoral joint and lateral compartment, partial lateral meniscectomy and then OPEN removal of plates and screws s/p lateral tibial plateau ORIF with bone grafting for the defects left from the screw removals. He used Grafton and cancellous chips.
I would think I cannot bill for the partial synovectomy and chondroplasty of the lateral compartment for OA but I am confused about the modifiers and how to code the open hardware removal with bone grafting.
Thanks for any help - HAPPY AND HEALTHY NEW YEAR!!!!