Medical Knowledge Needed To Complete This

Instructions: NCCI Guidelines:

An internal audit of knee arthroscopy procedures has identified the following:

29880 and 29876 are being coded together for the same knee

1. Based on NCCI edits, elaborate on the appropriateness of this coding practice.

2. Develop a process to ensure that NCCI arthroscopy guidelines are followed.

References: Castro, A.B. and E. Forrestal. 2015. Principles of Healthcare Reimbursement, 5th edition. Chicago,:AHIMA

Centers for Medicare and Medicaid Services (2015). NCCI Policy Manual for Medicare Services. Link:

https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/NCCI-Coding-Edits.html

Hazelwood, A. and C. Venable. 2016. Reimbursement Methodologies. Chapter 7 in Health Information Management: Concepts, Principles, and Practice, 5th ed. Oachs, P. and A. Watters, eds. Chicago: AHIMA

GRADING CRITERIA

Appropriate elaboration of coding practice, double-spaced.

9 points

Explain in each paragraph using analysis and scholarly thought with assertions supported by evidence.

9 points

Use proper quotation and APA citation rules

2 points

Provide URL with use of APA format

2points

Use proper spelling and grammar

3 points

TOTAL

25 points

This assignment comes from 2016 AHIMA Health Information Management Cases Studies.

CAHIIM Subdomain V.B.1

Number of Pages: 2 Pages

1.CPT code 29876 stands for a major synovectomy that is carried out in median and lateral compartments of the knee.When code 29876 is reported,it is alright if another procedure is carried out performed in the same compartment.The only thing is another code is used.As given in question we can used code 29880 that stands for meniscectomy in medial and lateral compartments.So,we can say that if a physician hasperformed both synovectomy and meniscectomy in the same lateral and median compartments of knee, we can report that by the two codes together.

2.For each of the arthroscopy done, which part of body .joint has undergone the surgery has be first looked at.The conditions in the joint has to be looked for.Which compartment of the joint has to undergo surgery is to be looked for.Which type of surgery is to be done i.e synovectomy or meniscectomy has to be seen.