2025 CPT code 27333

Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral.

The CPT guidelines specify that the application and removal of the first cast, splint, or traction device are included in the procedure and should not be billed separately. Subsequent replacement of these devices may be billed separately.Modifier 54 (Surgical Care Only) should be appended if another provider will be managing the postoperative care.

Modifiers such as 50 (Bilateral Procedure), 52 (Reduced Services), 76 (Repeat Procedure or Service by Same Physician), 77 (Repeat Procedure by Another Physician), and 78 (Return to the Operating Room for a Related Procedure During the Postoperative Period), among others, may be applicable depending on the circumstances of the case.

Medical necessity must be established for this procedure. This includes documentation of persistent knee pain, functional limitations, and failed conservative treatments such as physical therapy and pain management.Imaging studies should confirm the diagnosis of meniscal tears.

The surgeon performs the arthrotomy, excises the damaged menisci, and ensures proper closure of the surgical site.They are responsible for the patient's pre-operative and post-operative care.

In simple words: The surgeon makes an incision in your knee to remove damaged cartilage from both sides of your knee joint. This cartilage acts as a cushion between your thigh bone and shin bone.Removing the damaged cartilage can help relieve pain and improve knee movement.

This code describes a surgical procedure where an incision is made into the knee joint to remove damaged menisci (semilunar cartilages) from both the medial and lateral compartments of the knee.This procedure is typically performed to alleviate pain and restore function caused by torn or damaged menisci.

Example 1: A 25-year-old basketball player sustains a twisting injury to their knee resulting in tears of both the medial and lateral menisci, confirmed by MRI.Code 27333 is used for the open surgical repair., A 60-year-old patient with degenerative joint disease experiences chronic pain and limited mobility due to significantly damaged menisci in both compartments of the knee. Open meniscectomy is performed, and 27333 is reported., A 40-year-old patient has a history of prior arthroscopic meniscus repairs on the same knee, but recently re-injured the knee with damage to both menisci. An open procedure is chosen, using code 27333.

Operative report detailing the procedure, including the size and location of the meniscal tears, any associated procedures performed (e.g., debridement, synovectomy), and any complications encountered. Pre-operative imaging studies (e.g., MRI) confirming the diagnosis. Post-operative notes documenting the patient's recovery and progress.

** For a meniscectomy of only one compartment (medial OR lateral), use code 27332.

  • Modifier TC rule: No specific TC modifier rules are associated with this code.However, it is important to ensure accurate use of any applicable modifiers based on the circumstances of the procedure and payer guidelines.
  • Specialties:Orthopedic Surgery
  • Place of Service:Ambulatory Surgical Center, Outpatient Hospital, Inpatient Hospital (less common)
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