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29871

Arthroscopy, knee, surgical; for infection, loose or foreign body

Orthopedics Arthroscopy 24.35 Total RVUs
Quick Reference
For surgical knee arthroscopy for infection, loose or foreign body

Relative Value Units (RVUs)

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Work RVU
10.50
Physician effort
PE RVU
12.80
Practice expense
MP RVU
1.05
Malpractice
Total RVU
24.35
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

For surgical knee arthroscopy for infection, loose or foreign body

Time Requirement
45-75 minutes typical operative time

Common Scenarios

Septic knee requiring arthroscopic debridement
Removal of loose body
Removal of foreign body
Arthroscopic irrigation and debridement
Infected knee joint treatment

Documentation Requirements

  • Indication for surgical arthroscopy
  • Findings including infection or foreign body
  • Debridement technique
  • Irrigation performed
  • Any complications

Coding Guidelines

Common Modifiers

50 Bilateral procedure when both knees performed same session
51 Multiple procedures performed same session
22 Increased procedural services for extensive debridement
LT Left side procedure
RT Right side procedure

Bundling Rules

  • Includes surgical arthroscopy
  • Includes debridement
  • Includes irrigation
  • Diagnostic arthroscopy bundled when performed same session
  • Synovectomy coded separately

Exclusions

  • 29870 (arthroscopy, knee, diagnostic)
  • 29874 (arthroscopy, knee, surgical; removal of loose body)
  • 29875 (arthroscopy, knee, surgical; synovectomy)
  • 29877 (arthroscopy, knee, surgical; debridement)

Coding Notes

Surgical procedure for infection or foreign body
Document extent of debridement
Global period is 90 days
Document foreign body or infection

Clinical scenarios

Septic knee requiring arthroscopic debridement
Septic knee requiring arthroscopic debridement
When to use:For surgical knee arthroscopy for infection, loose or foreign body
  • Indication for surgical arthroscopy
  • Findings including infection or foreign body
  • Debridement technique
Removal of loose body
Removal of loose body
When to use:For surgical knee arthroscopy for infection, loose or foreign body
  • Indication for surgical arthroscopy
  • Findings including infection or foreign body
  • Debridement technique
Removal of foreign body
Removal of foreign body
When to use:For surgical knee arthroscopy for infection, loose or foreign body
  • Indication for surgical arthroscopy
  • Findings including infection or foreign body
  • Debridement technique

Who are you?

Code Details

Code 29871
Category Orthopedics
Subcategory Arthroscopy
Total RVUs 24.35

Medicare Pricing

PFS
2025 National Rate
$513.34
Facility
$513.34
Non-Facility
$513.34
RVU Breakdown
Work RVU:6.69PE RVU:7.83MP RVU:1.35Total RVU:15.87CF:$32.3465Global Days:090
OPPS Details
APC:5113Status:J1Copayment:
Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 29871?

CPT 29871 is the billing code for "Arthroscopy, knee, surgical; for infection, loose or foreign body". For surgical knee arthroscopy for infection, loose or foreign body

How much does Medicare pay for CPT 29871?

Medicare pays approximately $513.34 for CPT 29871 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

What are the RVUs for CPT 29871?

CPT 29871 has a total RVU of 24.35, broken down as: Work RVU 10.50, Practice Expense RVU 12.80, and Malpractice RVU 1.05. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 29871?

Key documentation requirements for CPT 29871 include: Indication for surgical arthroscopy; Findings including infection or foreign body; Debridement technique; Irrigation performed. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 29871 be billed with other codes?

Bundling considerations for CPT 29871: Includes surgical arthroscopy. Includes debridement Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 29871?

Common modifiers for CPT 29871 include: 50 (Bilateral procedure when both knees performed same session), 51 (Multiple procedures performed same session), 22 (Increased procedural services for extensive debridement). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 29871?

The typical time requirement for CPT 29871 is 45-75 minutes typical operative time. Time-based codes require documentation of the actual time spent providing the service.

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