Forum - Questions & Answers

Jul 16th, 2013 - Abbottld

casting included w/surgical procedure

I have been told that per The Complete Global Service Data for Orthopaedic Surgery lists CPT® 29345 as an intraoperative service included in the global service package for the primary surgical procedure CPT® 29886. Therefore, CPT® 29345 may not be allowed for separate reimbursement with CPT® 29886. Is this true?
Thank you

Jul 16th, 2013 - agent00711   151 

re: casting included w/surgical procedure

Per AAOS: (See #10 - per CCI edits the codes are not specifically excluded).

CPT® Code: 29886

Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during,
or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of
anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring
equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s),
irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure,
partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint, or
cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and
osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral,
methylmethacrylate, demineralized bone matrix, bone morphogenetic
proteins), except where specifically excluded
12. synovial resection for visualization
13. knee arthroscopy, diagnostic (eg, 29870)
14. manipulation under anesthesia (eg, 27570)

Medicare global fee period: 90 days

When I run the edit for these two codes, they are ok to be billed together without a modifier.



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