Wiki Total or partial knee replacement

[mmorningstarcpc]

Morning,

I have a physician who does medial OR lateral knee replacement, along with patella replacement. We are disagreeing on how this gets coded. One option is 27446 with 27438 and the other is 27447. If anyone can supply correct info, along with any modifier use or CCI edits, its would greatly appreciated. This is URGENT please.

Thanks so much!!!

 

[aazinke]

Partial Knee Replacement

Hi,
Inresponse to your question. You can only use the 27447 if they are doing both the medial AND lateral side of the knee, this code includes the work on the patella. If they are doing medial OR lateral and the patella. The correct code would be 27446 and 27438. They are not bundled per CCI (per Code X and McKesson) so the only modifier necessary is RT or LT. Hope this helps.

Alyson