E498

PDF page 626 / N46

Note:
         F-prefix fracture procedures are not eligible for payment with E478 for the same fracture.
# E494 Debridement (degenerative cartilage) – substantial
         debridement of 1 or more focal flaps of unstable
         degenerative articular cartilage causing mechanical
         symptoms, includes, when rendered, synovectomy,
         meniscal trimming and/or chondroplasty...................... add                                          299.00
# E498 Debridement (trauma) - substantial debridement of 1 or more
         focal flaps of unstable post-traumatic articular cartilage
         causing mechanical symptoms, includes, when rendered,
         synovectomy, meniscal trimming and/or chondroplasty add                                                   299.00
         Payment rules:
         1.E492 is not eligible for payment in addition to E494 or E498.
         2.E498 is not eligible for payment with R687 or E494.
         3.E494 or E498 are not eligible for payment for the debridement of cartilage flaps for the
           purpose of surgical visualization alone.
         [Commentary:
         When E494 or E495 are claimed with R687, or E498 is claimed with R699 it is recommended
         that the intra-articular pathology be documented with pre- and post-procedural photographic
         images taken during arthroscopy which are archived in the permanent medical record where
         possible.]
# E489 Microfracture and/or abrasion arthroplasty, for cartilage
         deficiency (includes removal of loose body(ies)........... add                                            250.00
# E495 Meniscectomy, partial or total, for symptomatic meniscal tear
         ..................................................................................... add                 240.45

PDF page 627 / N47

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 KNEE
                                                                                                        Asst   Surg     Anae
# E496 Repair medial or lateral meniscus, includes when rendered
           debridement of attachment site .................................... add  336.65
      Note:
      1.E495 is not eligible for payment in addition to E496 for the same meniscus.
      2.Trimming of a meniscus does not constitute E495 or E496.
      3.E489 and/or E494 and/or E498 are not eligible for payment in addition to E496 for
        debridement of attachment site.
    ARTHROTOMY
# R412 Knee - with or without removal of loose body .........................                            6     207.90    7
# R413 Osteochondritis dissecans with drilling and/or internal fixation                                  6     267.25    7
       ASPIRATION
        See Diagnostic and Therapeutic Procedures - Injections or Infusions.
    BIOPSY
    Bone/joint
  Z870 - needle.................................................................................               120.70    6
# Z242 - open ...................................................................................        6     193.00    7
    Soft tissue
# Z228 - open ...................................................................................               97.35    6
  Z219 Muscle needle biopsy, soft tissue, per site .............................                                34.05
    DENERVATION/DECOMPRESSION
# R426 Denervation of knee, by open surgical exposure....................                         6            258.00    7
      [Commentary:
      For Denervation/Decompression of peripheral nerves see page X12-X13.]

Master, record 1195. Record Layout PDF, page 1.

E49820250401999999990000299000000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.