2025 CPT code 29867
(Active) Effective Date: N/A Surgery - Endoscopy/Arthroscopy Procedures on the Musculoskeletal System Surgery Feed
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty).
Modifiers may be applicable, such as 51 (Multiple Procedures) if performed with other procedures.Refer to modifier guidelines for proper usage.
Medical necessity must be established for this procedure. This typically involves documentation of the patient's symptoms, failed conservative treatments, impact on daily activities, and the expected improvement in function following the procedure.
The physician is responsible for preparing the patient, performing the arthroscopic procedure, including the placement of the allograft, managing post-operative care, and ensuring appropriate documentation.This often involves pre-operative planning, patient education, anesthesia management, and coordination with other healthcare professionals.
In simple words: The doctor examines the inside of your knee with a small camera (arthroscope) and uses tiny instruments to transplant healthy cartilage from a donor to replace the damaged cartilage in your knee.This helps to reduce pain and improve how your knee moves.
This code describes a surgical procedure where an arthroscope is used to visualize the inside of the knee joint and to guide the transplantation of osteochondral allografts (cartilage and bone grafts from a donor) to repair damaged articular cartilage within the knee.The procedure aims to improve pain and mobility in patients by restoring damaged knee cartilage using donor tissue. It involves making small incisions, inserting the arthroscope and other instruments, preparing the damaged area, and implanting the allograft.
Example 1: A patient with a localized area of damaged articular cartilage in the knee, causing pain and limited movement, undergoes arthroscopic osteochondral allograft transplantation to repair the cartilage defect., Following a traumatic injury to the knee resulting in cartilage damage, a patient undergoes mosaicplasty using donor cartilage to restore the joint surface and improve function., A patient with osteoarthritis and focal cartilage defects opts for arthroscopic osteochondral allograft transplantation as a less invasive alternative to total knee replacement, aiming to alleviate pain and preserve joint mobility.
Documentation should include details of the damaged cartilage, size and location of the defect, type of allograft used, surgical technique, and any complications encountered.Pre-operative imaging studies and post-operative care instructions should also be documented.
** While a surgical assistant may be used, reimbursement policies vary among payers. It's important to verify payer guidelines regarding assistant surgeon billing for this procedure.
- Revenue Code: P6B (MINOR PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Specialties:Orthopedic Surgery, Sports Medicine
- Place of Service:Ambulatory Surgical Center, Hospital - Outpatient, Inpatient Hospital (less common)