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CPT code 29873

CPT® Code 29873 in section: Arthroscopy, knee, surgica

Any of the listed CPT code procedures codes can be submitted on the claim for the authorized procedure. *Parent code authorized 27424, 27425, 29873 : Articular Cartilage Restoration: 27412, 27415, 27416, 29866, 29867, 29879 . Knee Meniscectomy/Meniscal Repair/Meniscal Transplant CPT codes 29866 through 29887 are used to report a knee arthroscopy. HCPCS 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, is also used in some instances for. CPT® Assistant April 2005; page 14: From a CPT® coding perspective, if debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then only code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving), should be reported

CPT Code: 29873 - Release of ligaments at outer aspect of

  1. CPT code and description. 29881 - Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed average fee amount - $540 - $600. 29871 - ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE. 29873 - ARTHROSCOPY KNEE LATERAL RELEAS
  2. Any of the listed CPT code procedures codes can be submitted on the claim for the authorized procedure. Parent code authorized for primary surgery highlighted in 27424, 27425, 29873 Articular Cartilage Restoration: 27412, 27415, 27416, 29866, 29867, 29879 Knee Meniscectomy/Meniscal Repair/Meniscal Transplan
  3. CPT/HCPCS Codes* Required Clinical Information Autologous Chondrocyte Transplantation 27412 . J7330 . S2112 . Medical notes documenting all of the following: • Complete report(s) of diagnostic imaging (MRI, CT scan, X-rays and bone scan) Note : For pediatric age, indicate status of growth plate
  4. ology CPT®) code Measure of Hospital Visits after Orthopedic Ambulatory Surgical Center Procedures. Technical Report Addendu
  5. enials of CPT Procedure Code 29873 with Modifier 51 Billing of CPT procedure code 29873 (arthroscopy, knee, surgical; with lateral release) with modifier 51 (multiple procedures) was end-dated effective with date of service October 1, 2006, in compliance with a directive from CMS

29877 and 29873 Medical Billing and Coding Forum - AAP

CPT Code Fee Schedule Allowable Approved Amount Rationale; 43217: $509.76: $509.76: Code has highest fee schedule amount and allowed at 100%: 43202: $418.18: $107.96: Base code (found on indicator list) = 43200 Allowed amount of 43200 = $310.22 Difference between 43202 and 43200 $418.18 - $310.22 = $107.96: Total : $617.72: Add allowances for. Current Procedural Terminology (CPT) Codes Bariatric surgery (cont'd) by some benefit plans. For more information, please call 877-842-3210. 0312T 0313T 0314T 0315T 0316T 0317T * Notification/prior authorization required for the following diagnosis codes: E66.1 -E66.3, E66.8, E66.9, Z68.1, Z68.20 - Z68.39, Z68.41 - Z68.45, Z68.51 - Z68.54, Z98.8

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From a CPT® coding perspective, if debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then only code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving), should be reported. However, if debridement or shaving of articular cartilage is performed in one compartment of the knee. CPT Code 29823 and BC/BS Our practice was having the same problem with BC/BS denying CPT Code 29823. The Blues were in the middle of installing updates to their system between Fall 2018 and Spring 2019. Luckily, they have recognized the issue and have now started reimbursing CPT Code 29823 when it is accompanied with 29827, 29824, 29828, etc. Let's start by taking a look at the CPT® code definitions. 27420 Reconstruction of dislocating patella; (eg, Hauser type procedure) 27425 Lateral retinacular release, open. To answer, your question, the answer is no, the lateral retinacular release is inclusive to CPT® code 27420 for the reconstruction of the patellar dislocation Code. 29873. Add to CodeList. Copy Code to Clipboard. Copy Code and Description to Clipboard. To see the code description, try or buy SpeedECoder! CPT Guidelines - Code. To see American Medical Association copyrighted content, try or buy SpeedECoder! Related LCDs It is correct to report CPT code 29873 (lateral release) and G0289 for a chondroplasty when the surgeon performs these procedures on a Medicare patient? Date posted: Thursday, September 18, 2008 Category: Yes, this is a correct code combination assuming the documentation supports both services and the medical necessity of both services..

Data for Orthopaedic Surgery, CPT Code: 29873, code 29875 is listed as a procedure that is included in the global service package of 29873. Based on the National Correct Coding Initiative Edits, code 29875 is listed as a component code to code 29873. Therefore, if 29875 is submitted with 29873—only 29873 CPT Code Primary Surgery Allowable Billed Groupings Additional Covered Procedures/Codes Other Procedure Names Lateral Release: 27425, 29873 Anterior cruciate ligament (ACL), Posterior cruciate ligament (PCL), Medial collateral ligament (MCL) 29873 cpt arthroscopy, knee, surgical; with lateral release knee arthroscopy 29874 cpt arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral code code type description category 29889 cpt arthrs aided pst cruciate ligm rpr/agmntj/rcnstj knee arthroscopy 29999 cpt.

NCCI Procedure-to-Procedure Lookup. The Medicare National Correct Coding Initiative (NCCI) (also known as CCI) was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment. At a national level, CMS identifies individual services that are components of more inclusive services. CPT 29806 for surgical capsular repairs when performed arthroscopically. The surgeon's repair of the labrum by attaching it to the capsule as a separately identifiable capsulorrhaphy. Type I SLAP lesion is always coded as 29822 (Arthroscopic debridement, limited). CPT codes 29806 with 29807 is used when SLAP lesion repair is Type 2 or Type 4. This is a guide for Podiatrists on billing Ankle Arthroscope and answering common questions associated with Ankle Arthroscopy: Drilling of Defect 29891, without drilling mentioned in the operative report you cannot bill 29891: If you start a procedure with a scope and transfer to open use V64.43. Here are the CPT Codes

Knee with Lateral Release or Microfracture Surgical

  1. CPT codes 29873 and 29877 are indexed using the entry Arthroscopy, surgical, knee. In a Medicare OPPS case, HCPCS Level II code G0289 would be used in lieu of CPT code 29877-RT-59, since chondroplasty was performed in separate compartments as per the source document. b. M22.41, M25.561, 27425-RT Incorrect answer. Diagnosis codes M22.41 and M25.
  2. removal of the loose body and 29873 reports the lateral release. Only a single arthroscopic procedure for each compartment of the knee is reported. Instruction from the NCCI manual says 29874 should not be reported with other knee arthroscopy codes 29866-29889. For this procedure 29873 is reported with modifier RT
  3. CPT Code Primary Surgery Allowable Billed Groupings Additional Covered Procedures/Codes Other Procedure Names Lateral Release: 27425, 29873 Chondroplasty: 29877 Microfracture: 29879 Anterior cruciate ligament (ACL), Posterior cruciate ligament (PCL), Medial collateral ligament (MCL)
  4. e the number of fetuses, amniotic/chorionic sacs, survey of intracranial, spinal, and abdo
  5. Take care when reporting ICD-9 codes in addition to the CPT codes for the surgical procedure. Knee problems can be acute or chronic, and there are specific ICD-9 codes relating to the type of condition. Correct coding requires that specific ICD-9 codes must be linked with the individual CPT codes for each knee procedure
  6. Correct Coding Initiative (NCCI or CCI) bundles. your listed codes as follows: CPT 28292 (bunionectomy) is the comprehensive. code. CPT 28285 (hammertoe correction) is a component. code to CPT 28292. CPT 28122 (ostectomy, partial, metatarsal) is. also a component code to CPT 28292. CPT 28285 and CPT 28122 have no CCI edit
  7. The CPT Changes for 2005: An Insider's View states that: Code 27412 was established to report performance of an open procedure of the knee for implantation of previously obtained autologous chondrocytes for treatment of diseased or injured articular cartilage. [ACI is] typically performed for lesions of the femoral condyle, the.

1National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. 1 Magellan Health Care1 2019 Hip, Knee and Shoulder Surgery Authorization and CPT Code Reference Guide 1. PROCEDURES WITHIN PROCEDURES Does the ordering surgeon need a separate request for all hip, knee and shoulde Code Pair Edits Do Not Bypass with any Modifier Our health plan has determined that the following code pairs are typically not appropriately reported together, therefore, modifiers will NOT bypass the denial on the following code pairs: 4/1/2020 Page 1 of 24 Supplement to CCI version 26.1 CPT Codes that are considered Components are incidental to the codes considered to be Comprehensive and will be denied as 29873 29877 29875 29873 29879 27455 29881 27455 30115 31201 30200 30100 30901 31231 30903 31231 30905 30906 31231 31238 31237 31267 31256 31267 31505 4320 Hip and Knee Replacement (CPT Codes 27130, 27446 and 27447) In the CY 2014 final rule with comment period we established interim final values for three CPT codes for hip and knee replacements that had previously been identified as potentially misvalued codes under the CMS high expenditure procedural code screen. For CY 2014, we established the.

family of CPT codes is not listed in this table, an exact match is required between the notified CPT code and the billed CPT code. Authorized CPT Code Description Allowable Billed Groupings 27425, 29873, 29877, 27412, 27415, 27416, 29866, 29867, 2987 From a CPT® coding perspective, if debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then only code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving), should be reported. However, if debridement or shaving of articular cartilage is performed in one compartment of the knee. CPT codes 29870, 29875, or 29876 will not be considered for additional reimbursement when performed on the same date as, or in conjunction with, one of the primary procedure codes listed above, even when appended with Modifier 59. Reimbursement for these services will be considered included in the allowance for the primary procedure Code: Global Period: 0163T 000 0164T 000 0165T 000 0234T 000 0235T 000 0236T 000 0237T 000 0238T 000 0249T 000 0253T 000 0254T 000 0255T 000 0266T 000 0267T 000 0268T 000 29873 090 29874 090 29875 090 29876 090 29877 090 29879 090 29880 090 29881 090 29882 090 29883 090 29884 090 29885 090 29886 090 29887 090 29888 090 29889 090 2989

Reinforce Knee Arthroscopy Coding - AAPC Knowledge Cente

CPT Codes HCPCS Codes ICD-10-PCS Procedure Codes NDC National Drug Codes ICD 9 Codes - Vol. I ICD-9-CM Procedure Codes Vol. III ABC Codes Code Set Medicare Guidelines. ABN Forms CMS 1500 Claim Form Place of Service Codes UB04 Claim Form Provider Taxonomy Codes NPI Look-Up Tool (National Provider Identifier corresponding global CPT® codes. These exclusions are terminated effective for dates of service on or after October 1, 2010. Procedure Codes that are Excluded from Modifier 59 Processing Global Procedure Codes - The corresponding excluded code will not be separately paid when filed with one of these global codes Arthroscopic Debridement Codes ment of multi- partial synovectomy, which areCPT Code Procedure MCR (approx. 2009) ple areas/sites, not typically included in a rotator29822 Arthroscopy, shoulder $842.28 such as the cuff, then you can feel comfort- limited debridement labrum able reporting CPT 29823

Knee procedures Medical Billing and Coding Forum - AAP

referenced by the applicable American Medical Association's Current Procedural Terminology (CPT) codes. Subparagraph (e)(2)(F) has been changed from proposal to reflect Medicare's proposed inclusion of CPT code 29873 in payment group 3, rather than the rule's proposed payment group of 4 codes) ASC Fees South Physicians' Fees North Physicians' Fees South ASC Fees North CPT* HCPCS MOD DESCRIPTION 11981 INSERT DRUG IMPLANT DEVICE 216.27 206.20 89.55 82.44 X 11982 REMOVE DRUG IMPLANT DEVICE 240.23 229.28 89.55 82.44 X 12001 REPAIR SUPERFICIAL WOUND(S) 156.46 148.50 177.81 163.6 Commercial: If the account is a commercial account that follows AMA guidelines, we would report CPT codes 29881; 29877-59. Medicare: If the account is a Medicare account, we would report CPT codes 29881; G0289. Recall, G0289, while on the Medicare ASC list of approved procedures, is listed with an N1 indicator

Learn the Essentials of Knee Arthroscopy Codin

CPT Code Primary Surgery Allowable Billed Groupings Additional Covered Procedures/Codes Other Procedure Names Lateral Release: 27425, 29873 Chondroplasty: 29877 Microfracture: 29879 Anterior cruciate ligament (ACL), Posterior cruciate ligament (PCL), Medial collateral ligamen CPT ® Code Set. 29876 - CPT® Code in category: Arthroscopy, knee, surgical. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code. Humana guidelines and best practices. For detailed information about Humana's claim payment inquiry process, review the claim payment inquiry process guide (300 KB). , PDF opens new window. The following links are intended to facilitate documentation and coding diagnoses and services that are provided to patients with Humana coverage: *

09/10/19 annual review; added CPT code 29826 to 23415 — Shoulder Surgery - Other 02/07/20 updated policy for consistency with NIA allowed billable groupings Referral, Notification, and Authorization—Authorizatio The outcome is to submit CPT modifier 78 with CPT code 49002. Example 2: Right cataract extraction (CPT code 66984) was performed on May 1. On June 30, within the post-op period of the cataract removal surgery, a YAG laser capsulotomy (CPT code 66821) was performed on the right eye. Submit CPT modifier 78 with CPT code 66821 since this.

CPT/HCPC Code Modifier Medicare Location Global Surgery Indicator Multiple Surgery Indicator Prevailing Charge Amount Fee Schedule Amount Site of Service Amount ; 29873 2: 90: 3: X: 877.08: X: 29873. CPT1 Code Setting Facility Medicare Medicare HCPCS (HOPD Setting APC & APC National National Code Code Description and ASC) (Office) Description Average Average 29873 with lateral release 5113 $552.71 N/A - Level 3 MSK Procedures $2,830.40 $1,335.09 29874 5113 removal of loose body or foreign bod Denials of CPT Procedure Code 29873 with Modifier 51, 6/09 Denials of CPT Procedure Code 96360, 96365, 96374, and 96375, 6/09 DHHS Awards Contract for Replacement MMIS, 2/09 Dietary Evaluation and Counseling, 11/09 DMA Budget Initiative Web Page: 7/0 The matrix below contains all of the CPT -4 codes for which Florida Blue Medicare authorizes on behalf of its 27425, 29866, 29867, 29870, 29873, 29874, For Knee and Hip; If any joint surgery is to be performed bilaterally (modifier -50) on the same date of service, separate authorizations are required for each joint

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New CPT codes will be updated on an annual basis and will be reimbursed at the full Code 29888 29881 29877 29873 Hand Surgery Code 64721 26055 25447 25111 Shoulder Surgery Code 29827 29826 23412 25609 29807 ASC-Current No Payment ASCs can receive payment for DME. Only reimbursed if a DME Medicar CPT codes covered if selection criteria are met: 29880 Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performe Unlisted/miscellaneous CPT and HCPC's codes require prior approval Note: Unlisted or miscellaneous CPT/HCPCS codes should only be used if a more specific code has not been established HCPCS codes beginning with S (Temporary National Codes Non-Medicare), other than those listed below, will not be considered for coverage by Blue Medicare HMO/PPO You can always identify a designated separate procedure by the parenthetical inclusion of (separate procedure) at the end of a CPT code description (e.g. 29870 Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) ). A separate procedure designation identifies a procedure that may be performed independently. Musculoskeletal procedure code substitutions for orthopedic and spinal surgeries *29873 *29806 *23455 *29820 *23105 *29821 *23105 *29826 *23130, *23415 BCN commercial and BCN Advantage members, for dates of service on or after Jan. 1, 2021. *CPT codes, descriptions and twodigit numeric modifiers only are copyright - 2020American Medical.

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Coding Knee Arthroscopies Can Be Tricky - Elite Learnin

  1. Arthroscopic codes 29888 and 29889 cannot be reported when 27427 to 27429 are reported. This goes back to a basic rule which has been in place since 1997, explains Susan Callaway-Stradley, CPC, CCS-P, a coding consultant and educator based in North Augusta, S.C. If you are already doing an open procedure, you cannot bill for an arthroscopic one
  2. 29873 Arthroscopy Knee Lateral Release - PLUS IMPLANTS IF NEEDED $ 4,510.00 (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis). $ 1,540.00 ; Bundles with Multiple CPT Codes 11012, 11760, 13131 Repair Of Nail Bed/Debride Skin, Muscle, Bone/Repair Of Wound Or Lesion $ 3,650.00.
  3. Effective: 1/1/2020 CPT® Code CPT® Code Description 29916 Arthroscopy, hip, surgical; with labral repai

Blue Cross and BCN allow certain procedure codes to be substituted for this procedure code. See the Procedure code substitutions section on page 7. (3) This procedure code doesn't require prior authorization for Blue Cross commercial members. Pain management procedure codes Prior Authorization via Web-Based Tool for Durable Medical Equipment (DME) Telemedicine/Telephone Services for Commercial Products. Telemedicine/Telephone Services for Medicare Advantage Plans during the Public Health Emergency (PHE) The policies below exclude Federal Employee Program® (FEP) products. For FEP policies, please call (401) 272-5670 CPT 27425 is on the ASC list and ASCs have been performing lateral releases for years. With the addition of a specific CPT code for lateral releases through arthroscopies, CPT 27425 can no longer be used to code arthroscopic lateral releases. By not adding this new code, CPT 29873, for a variation that was previously coded CPT 27425 to the list. CPT 28470 (closed treatment of metatarsal fracture; without manipulation, each) for the 3rd and 4th metatarsal fractures. Each of these codes carry a 90-day Medicare post-op period. You would, therefore, not bill any E/M service codes while providing fracture care during the 90 days. Howard Zlotoff, DPM Camp Hill, P CPT® virtual meeting: Diagnostic precision medicine coding and payment. Attend the July 22 CPT® virtual meeting to discuss improving access and reducing burdens associated with genetic testing and precision medicine. CPT® Jun 9, 2021

CPT 29881 , 29876 -29884, 29888 - Arthroscopy, knee codes

Cystourethroscopy, deleted 52335 from the family codes. 2.3: 11/12/2008: Section II. Endoscopy Families, first sentence, corrected the year of the CPT book that was used to update codes in April 28, 2008, by changing CPT 2006 codes to CPT 2007 codes. 2.4: 06/29/2015: Updated eligible charge amounts and removed the following chart from. CPT code 93970 Do not submit these procedures with CPT modifier 50. These codes are already established as being performed bilaterally. 3 Radiological Procedures valid for bilateral criteria. These are radiology/diagnostic tests that are not subject to the special payment rules for other bilateral surgeries, and payment for each side is based.

CPT code 29806 , 29822 - 29823, 29824, 29826, 29827

Claims for arthroscopy of the knee (CPT Codes 29870-29887 or 29999) submitted with one of the ICD-10-CM codes listed below as the primary diagnosis will be denied with the following disposition: Deny Vendor Liable. ICD-10-CM Description M17.0 Bilateral primary osteoarthritis of knee M17.11 Unilateral primary osteoarthritis, right kne codes listed in Section 602 of this subchapter, CPT Category II codes ending in F, and CPT Category III codes ending in T. A physician may request prior authorization (PA) for any medically necessary service reimbursable under the federal Medicaid Act, in accordance with 130 CMR 450.144, 42 U.S.C. 1396d(a), and 42 U.S.C 29873. Endoscopic plantar fasciotomy. 29893. Subtalar joint arthroscopy with removal of foreign body. 29904. (In the Index, reference the main term Pericardiocentesis. Code range 33010-33011 is listed. Reference the code range in the main section of the CPT manual.) Preoperative diagnosis: Malignant carcinoma of breast Postoperative.

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can you bill 29873 with 29880 medicareacode

Prominence Health Plan: Joint Surgery CPT Code List: Updated: 6/12/2018 Category CPT® Code CPT® Code Description Joint Surgery Mgmt 23466: Capsulorrhaphy, glenohumeral joint, any type multi-directional instability 29873 Arthroscopy, knee, surgical; with lateral release; Joint Surgery Mgmt 29874 TurningPoint Healthcare Solutions. Absolute Total Care is pleased to announce the launch of a new and innovative Surgical Quality and Safety Management Program. The program is designed to work collaboratively with physicians to promote patient safety through the practice of high quality and cost-effective care for Absolute Total Care members.

Reporting Shoulder Surgery - Stay Up-to-date with Coding Rule

CPT Assistant, February 2007 Radiologic supervision and interpretation codes for specific procedures include all the radiologic services necessary for that procedure. For example, do not additionally report fluoroscopy (e.g., CPT codes 76000, 76001, 77002, 77003) or ultrasound guidance (e.g., CPT codes 76942, 76998). National Correct Coding. Find the appropriate CPT code(s) (and modifier(s) if required). Code only for the surgeon. Do not report anesthesia or radiology codes. For each code list the coding path - the main term or keyword, and the modifying terms (or indented terms). If you are using the 3m encoder, you may screen shot or copy and paste the history once you have. anesthesia CPT codes in effect at the time of service, subject to all conditions and limitations described in MassHealth regulations at 130 CMR 433.000 and 450.000: Administrative and Billing Regulations, except for those codes listed in Section 602 of this subchapter, CPT Category II codes ending in F, and CPT Category III codes ending in T

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A) 45378. B) 45380. C) 45384. D) 45385. 50) A patient came for colonoscopy, there are three polyps found first in the ascending, second in descending and third in the transverse colon, all three are removed by the snare polypectomy technique, what would be the correct cpt code for this procedure ? A) 45378. B) 45380. C) 45384 (The carpal ligament was performed arthroscopically; therefore, CPT code 29848 would be appropriate with modifier RT to indicate right wrist.) WRONG. Incision and drainage of tendon sheath of the right index finger 29873-51-RT (Arthroscopic chondroplasty was performed, which codes to 29877-RT as well as arthroscopic lateral release, code. Codes 1303 y Appendix G: Vascular Families for Interventional Radiology Coding 1305 y Appendix H: Modifier 51 Exempt, Modifier 63 Exempt, and Add-On Codes 1311 y Appendix I: Brand-Name and Generic Vaccinations Associated With CPT CPT code for arthroscopic loose body removal should be coded only if no other procedure is performed in the same compartment of the knee. For loose bodies greater than 1 CM a seperate code can be used. Use CPT code 29873 for Arthroscopic lateral release for patellar dislocations. Knee Compartments

Certified professional coder (CPC) is a 150 multiple choice based exam with a time limit of 5 hours and 40 minutes and 1 free retake. It qualifies that you have full knowledge of anatomy, physiology, medical terminology and coding guidelines including compliance and reimbursement Data Updated for Q4 2018 CPT Code: 99305 Description: Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or. CPT Code: 29873—Arthroscopy, knee, surgical; with lateral release CPT Code: 29874—Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation Essential Rules and Guidance to Code It Right. End User License Agreement. Decline Accep ©2014 Accreditation Council for Graduate Medical Education (ACGME) Orthopaedic Surgery Minimum Numbers Review Committee for Orthopaedic Surger