CPT code 29889 is a medical billing code for knee arthroscopy or surgery, used to describe specific procedures performed on the knee joint.
CPT code 29889 is used to describe a knee arthroscopy procedure that involves the surgical repair of a torn meniscus. This code specifically indicates that the surgery is performed using an arthroscope, a minimally invasive instrument that allows the surgeon to visualize and operate on the knee joint through small incisions. The procedure may include the removal of damaged tissue or the repair of the meniscus to restore knee function and alleviate pain.
When billing for CPT code 29889, various modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers that could be used:
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 52 - Reduced Services: Used when the service provided is less than what is typically required for the procedure.
4. Modifier 53 - Discontinued Procedure: Indicates that the procedure was started but had to be discontinued due to extenuating circumstances.
5. Modifier 59 - Distinct Procedural Service: Used to indicate that the procedure is distinct or independent from other services performed on the same day.
6. Modifier LT - Left Side: Specifies that the procedure was performed on the left knee.
7. Modifier RT - Right Side: Specifies that the procedure was performed on the right knee.
8. Modifier 76 - Repeat Procedure by Same Physician: Indicates that the same procedure was performed again by the same physician on the same day.
9. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is performed again by a different physician on the same day.
10. 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.
11. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when a procedure unrelated to the original procedure is performed during the postoperative period.
These modifiers help clarify the specifics of the procedure performed and can impact reimbursement and claims processing. It is essential to select the appropriate modifier based on the clinical scenario to ensure accurate billing and compliance.
CPT code 29889 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 and their corresponding payment rates. Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have localized policies and fee schedules. Therefore, it is advisable to consult the relevant MAC for your area to obtain precise information regarding the reimbursement for CPT code 29889.
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