DecisionHealth, DecisionHealth - 2012 Issue 1 (January)

Ask a Part B News Expert: Knee Arthroscopy

Code G0289 (surgical knee arthroscopy with surgery to remove loose/foreign body or chrondroplasty at the time of other arthroscopy on the same knee) has an N1 payment indicator which means it’s bundled into the payment for ambulatory surgical center facility fees and cannot be separately billed.  The Medicare Claims Processing Manual states that you cannot bill codes with N1 status as additional line items since it could lead to improper reimbursement.  If so, what is the purpose of G0289?

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