CPT code 29887 is a medical billing code for knee arthroscopy, a minimally invasive surgery to diagnose and treat knee issues.
CPT code 29887 is used to describe a specific surgical procedure known as knee arthroscopy with a focus on the treatment of a meniscal tear. This code indicates that the procedure involves the use of a small camera and instruments inserted into the knee joint through tiny incisions, allowing the surgeon to visualize and repair the damaged meniscus. It is typically performed to alleviate pain and restore function in patients suffering from knee injuries.
When billing for CPT code 29887, several modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of modifiers that could be used along with the reasons for each:
1. Modifier 50 - Bilateral Procedure: Used when the procedure is performed on both knees during the same session.
2. Modifier 51 - Multiple Procedures: Indicates that multiple procedures were performed during the same session, which may affect reimbursement.
3. Modifier 59 - Distinct Procedural Service: Used to indicate that a procedure was distinct or independent from other services performed on the same day.
4. Modifier 76 - Repeat Procedure by Same Physician: Applied when the same procedure is performed more than once by the same physician on the same day.
5. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is performed more than once by a different physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room: Indicates that a patient returned to the operating room for a related procedure within the global period.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when a procedure is performed that is unrelated to the original procedure during the postoperative period.
8. Modifier AS - Physician Assistant (PA) Services: Indicates that a PA performed the procedure under the supervision of a physician.
9. Modifier TC - Technical Component: Used when billing for the technical component of a procedure that has both a professional and technical component.
10. Modifier 22 - Increased Procedural Services: Indicates that the procedure was more complex than usual, which may warrant additional reimbursement.
It is essential to select the appropriate modifier(s) based on the specific circumstances of the procedure to ensure accurate billing and compliance with payer requirements.
CPT code 29887 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, along with the associated payment rates. Additionally, Medicare Administrative Contractors (MACs) play a crucial role in determining the reimbursement policies and rates for specific regions. Therefore, it is advisable to consult the MPFS and your local MAC to confirm the exact reimbursement details for CPT code 29887.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. With RevFind, you can identify discrepancies for specific codes like 29887, ensuring you capture every dollar owed. Schedule a demo today to see how RevFind can streamline your revenue recovery process.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
