Coding Clarification

In the Fourth Quarter 2017 issue of Coding Clinic for HCPCS, page 5, guidance was provided pertaining to code assignment for an arthroscopic subchondroplasty performed on a patient with tibial plateau insufficiency fractures. In addition to the subchondroplasty, debridement/shaving of the medial femoral condyle, patella and synovial thickening was performed with drainage of fluid. The published advice states that the subchrondroplasty is inherent to the primary procedure. However, in this case, the subchondroplasty is the primary procedure. Report only CPT code 29855 , Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy), for...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a Coding Clinic clarification from the Fourth Quarter 2017 issue of Coding Clinic for HCPCS involving an arthroscopic knee procedure scenario and how the guidance affects code reporting. It is aimed at coding professionals who want to understand the scope of the clarification, the code sets involved, and the general type of coding advice discussed without relying on the premium article itself.

Why This Topic Matters

It helps coders and auditors identify when an official coding clarification applies to a procedure scenario and what broad coding topics are addressed in the guidance.

What You Will Learn

  • What the article is about at a high level
  • Which official coding guidance source is being discussed
  • What general procedure and specialty area the clarification concerns
  • What kinds of coding issues the clarification addresses

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Revenue cycle professionals
  • Orthopedic coding specialists

Codes Discussed

Modifiers Discussed


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The AHA Coding Clinic for HCPCS includes:

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Access to this feature is available in the following products:
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