December 2, 2021
Our surgeons occasionally perform subchondroplasty procedures. We are reporting this with an unlisted code and are wondering if this is correct.
Yes, through the remainder of 2021 you will continue to report an unlisted CPT code. The AMA released a new Category III code in July 2021, but it is not effective until January 1, 2022.
0707T: Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance and arthroscopic assistance for joint visualization
The following guidelines apply to this new Category III code.
- Do not report 0707T in conjunction with 29805, 29860, 29870, 77002
- For aspiration and injection of bone cysts, use 20615
Source: https://www.ama-assn.org/system/files/cpt-category3-codes-long-descriptors.pdf 10/26/2021
*This response is based on the best information available as of 12/02/21.