Question 1

What is HCPCS code G0289?

Accepted Answer

HCPCS code G0289 is "Arthro, loose body + chondro". Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

Question 2

What category is G0289 in?

Accepted Answer

G0289 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0289?

Accepted Answer

Use G0289 when billing for arthro, loose body + chondro. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G0289 covered by Medicare?

Accepted Answer

Coverage for G0289 (Arthro, loose body + chondro) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G0289?

Accepted Answer

Documentation for G0289 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).