PP.US.MAC.0835 v4.0 This type of damage can be caused by pushing and straining beyond the range of motion that is considered normal for the knee. When more conservative interventions such as physical therapy or steroid injections have failed to relieve pain, the procedure allows the surgeon to implant the patient’s own normal articular cartilage. This autologous cartilage contains chondrocyte cells which are considered to be the building blocks of cartilage. This list is not all-inclusive, and physician and staff may deem other codes more appropriate. Based on CCI edit, code 29874 can never be reported with code 29877 because a modifier is not allowed at all.
At first, a cartilage biopsy is performed arthroscopically.
The implantation of MACI is to be performed via an arthrotomy to the knee joint under sterile conditions.The amount of MACI administered is dependent upon the size (surface in cm²) of the cartilage defect. MACI is used for the repair of symptomatic cartilage damage of the adult knee. At HSS, candidates for MACI will be evaluated by their surgeon using both a physical examination as well as magnetic resonance imaging (MRI) to provide the clearest picture of the cartilage injury present in the knee.During the first operation, the surgeon views the knee through two small portals (one medial, one lateral). The potential exists for expansion of malignant or dysplastic cells present in biopsy All rights reserved. Patients undergoing procedures associated with MACI are not routinely tested for transmissible infectious diseases.
SuperCoder is powered by the experienced coding and compliance professionals at TCI. MACI is contraindicated in patients who are unable to follow a physician-prescribed post-surgical rehabilitation program. The safety of MACI in patients with malignancy in the area of cartilage biopsy or implant is unknown.
The biopsy is then sent to the lab to grow on a collagen matrix for approximately one month. Providers should exercise independent clinical judgment when selecting codes and submitting claims to reflect accurately the services rendered to individual patients.Third-party payment for medical products and services is affected by numerous factors. It is a surgical option indicated for cartilage defects in the knee when more conservative interventions such as physical therapy or steroid injections have failed to relieve pain. For implantations post-pregnancy, the safety of breast feeding to infant has not been determined.Use of MACI in pediatric patients (younger than 18 years of age) or patients over 65 years of age has not been established.The most frequently occurring adverse reactions reported for MACI (≥5%) were arthralgia, tendonitis, back pain, joint swelling, and joint effusion.Serious adverse reactions reported for MACI were arthralgia, cartilage injury, meniscus injury, treatment failure, and osteoarthritis.This site is intended for United States residents only.©2020 Vericel Corporation. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!one of our doctors performed a 29870 29877 29874. MACI ® (autologous cultured chondrocytes on porcine collagen membrane) is made up of your own (autologous) cells that are expanded and placed onto a film that is implanted into the area of the cartilage damage and absorbed back into your own tissue. MACI is used for the repair of symptomatic cartilage damage of the adult knee. It is a surgical option indicated for cartilage defects in the knee. If necessary, the surgeon may debrideâremove damaged tissueâfrom the knee, and then will take a biopsy of the patientâs cartilage. Expansion of present malignant or dysplastic cells during the culturing process or implantation is possible. Your surgeon will most likely remove the area of damaged tissue on the affected knee. The exact terminology is as follows:Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) Reimbursement will depend upon the contract with the insurer. Have a medical coding or compliance question? The implantation membrane is trimmed by the treating surgeon to the size and shape of the defect, to ensure the damaged area is completely covered, and implanted cell-side down.Effectiveness of MACI in joints other than the knee has not been established.Safety and effectiveness of MACI in patients over the age of 55 years have not been established.MACI is contraindicated in patients with a known history of hypersensitivity to gentamicin, other aminoglycosides, or products of porcine or bovine origin. Next, the MACI® implant will be surgically placed at the location of cartilage damage and absorbed back into your own tissue. MACI has been reported to be a successful method to treat symptomatic isolated cartilage defects. These cells are then placed onto a membrane of collagen which encourages expansion of these cells, and in turn, new healthy cartilage.
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