| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G0289 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
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 |
| HCPCS Short Description |
Arthro, loose body + chondro |
| HCPCS Pricing Indicator Code 1 |
11 - Price established using national rvu's |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Berenson-Eggers Type Of Service Code |
P8A - Endoscopy - arthroscopy |
| HCPCS Type Of Service Code 1 |
2 - Surgery |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2003 |
| HCPCS Action Effective Date |
1/1/2003 |
| HCPCS Action Code |
N - No maintenance for this code |