G Code Reporting

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Question:

We are a sports medicine practice (This said “patient” but that doesn’t make sense so I went with “practice.”) and frequently do chondroplasty and arthroscopic removal of foreign body procedures. Can you tell us which payers require us to report the G code?

Answer:

We cannot tell you what payors will require the G code, other than Medicare, when documentation supports the services and the G code is separately reportable. KZA recommends you survey your private payors – research private payor websites for coding guidance. Report all services according to the AMA CPT rules with the five digit CPT codes until you receive instructions in writing that the payor no longer accepts CPT code 29877 or 29874 in the presence of other arthroscopic knee procedures.