tci Medicare Compliance & Reimbursement - 2004 Issue 41

ORTHOPEDICS: New Knee Arthroscopy Codes Spark Debate

What place does sports medicine have in Medicare?Many orthopedists welcome CPT's new knee surgery codes with open arms, but some regard them as a dangerous diversion.CPT 2005 will include no fewer than five new knee surgery codes, including autologous chondrocyte implantation (27412), osteochondral allograft (27415), arthroscopic osteochondral autografts (29866-29867) and arthroscopic meniscal transplantation (29868). The latest arthroscopic additions perplex orthopedic trauma surgeon Paul Kosmatka with the Marshfield Clinic in Marshfield, WI. He sees them as part of a burgeoning trend of new arthroscopic and sports medicine codes that "are typically done on non-Medicare patients." "Surgeons need...

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