G0289 – 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 Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Carrier judgment

HCPCS codeG0289
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
Short description
Arthro, loose body + chondro
Pricing indicator
11 Priced using national RVUs (Physician Fee Schedule)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
P8A Endoscopy - arthroscopy
Added
January 1, 2003
Last change
January 1, 2003 – No change

Frequently asked questions

What is HCPCS code G0289?

G0289 is a HCPCS Level II code for 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.

Does Medicare cover G0289?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby G codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.