tci Medicare Compliance & Reimbursement - 2006 Issue 35

ORTHOPEDICS: Medicare Changes Multiple Procedure Indicator For Arthroscopy

Say goodbye to 50-percent pay cut for G0289.You can look forward to $48 more in reimbursement when you report G0289 with your chondroplasty claims, thanks to a new Medicare Transmittal. On Sept. 1, the Centers for Medicare & Medicaid Services (CMS) issued Transmittal 1047, which changes the multiple surgery payment indicator for code G0289 (Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage [chondroplasty] at the time of other surgical knee arthroscopy in a different compartment of the same knee) from "2" to "0." This means that as of Oct. 2, Medicare...

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