OrthoCoder07
New
It is my understanding is that when a surgeon performs a procedure arthroscopically and you don't see a specific code in the arthroscopic section of the CPT manual, but you see a code for the procedure performed as an open procedure, you must code using the Unlisted Arthroscopy code (29999) rather than using the code for the open procedure as Medicare considers using an open code for a procedure performed arthroscopically, a fraudulent practice. For example, if a calcaneal spur is removed through an endoscopic approach it should be billed using an unlisted CPT 29999 vs the open procedure CPT 28119 (Ostectomy, calcaneus; for spur, with or without plantar fascial release), correct? If anyone has any specific references/links feel free to post. Thank you!