What is included in CPT 29888?
arthroscopic ACL reconstruction
The CPT code for an arthroscopic ACL reconstruction is 29888, “Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction.” According to the AAOS Global Service Data Book (GSD), this code covers: minor synovial resection for visualization; notchoplasty; ACL stump removal; partial …
Can 29888 and 27427 be billed together?
As per AAOS you can report 29888 (Cruciate) with 27427 (Collateral). What you CAN’T do is report an Arthroscopic Cruciate repair (29888) with an OPEN Cruciate repair (27428) when it’s the SAME Cruciate ligament (i.e. ACL).
What is tibial tunnel?
Tibial tunnel cysts, including pretibial cysts, are occasional complications of autologous or synthetic anterior cruciate ligament (ACL) reconstruction surgeries. They are benign ganglion cysts that develop in or around the osseous tibial tunnel made during ACL reconstruction using the transtibial technique 1-2.
What is the difference between CPT code 29881 and 29882?
Meniscectomy (29880, 29881) and meniscal repairs (29882, 29883) may be performed alone or with other services, and often are the primary service. Meniscectomy involves surgical removal of all or part of a torn meniscus, while 29882 and 29883 are used when the meniscal tear is repairable.
What does CPT code 29880 mean?
Arthroscopy
29880 Arthroscopy medial and lateral meniscectomy G0289 for the Arthroscopic removal of a loose body in a separate compartment 29880 is coded for the medial AND lateral meniscectomy Since the loose body removal was done in a separate compartment (patellofemoral), the G0289 is coded.
What is the CPT code for ACL reconstruction with allograft?
ACL Reconstruction 29888. Graft options: Autograft patellar, hamstring, and quadriceps tendons. Allograft quadriceps, patellar, Achilles, hamstring, and anterior and posterior tibialis tendons.
Can CPT code 29876 and 29881 be billed together?
CPT Code 29881 would be reported for the meniscectomy in addition to 29876 for the synovectomy.
Can CPT codes 29881 and 29874 be billed together?
Q: Based on CPT Assistant, CPT code 29874 (knee arthroscopy with removal of loose/foreign body) may be reported with modifier -59 (distinct procedural service) if performed in a separate compartment from procedures 29875-29881.
Where is the tibial tunnel located?
The center of the tibial tunnel should be located at 40% of the medial-to-lateral width of the interspinous distance, in line with the posterior edge of the lateral meniscus anterior horn, approximately 15 mm anterior to the posterior cruciate ligament.
Can you bill 29881 and G0289 together?
Since CPT codes 29880 and 29881 (Surgical knee arthroscopy with meniscectomy including debridement/shaving of articular cartilage of same or separate compartment(s)) include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for …
Can 29881 and 29879 be billed together?
The code 29879 can be assigned in addition to 29881. Note: Sometimes a physician may indicate he did a meniscus repair when he really meant a meniscectomy. The operative report may include some description of sutures or “arrows” into the meniscus if a repair was performed.
What is CPT code G0289?
Report HCPCS code G0289 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.
Is femoral or tibial Tunnel better for ACL reconstruction?
Tibial tunnel was found to be anterior, perhaps more inferior than would be in an anatomic ACL insertion. Femoral Tunnel was inspected and found to be slightly superior and ideal. Decision made to bone graft the tunnels rather than doing a revision ACL reconstruction. Incision made over tibia through previous incision to locate the tibial button.
What is the decision to bone graft the tunnels for ACL reconstruction?
Decision made to bone graft the tunnels rather than doing a revision ACL reconstruction. Incision made over tibia through previous incision to locate the tibial button. Dissection continued with use of knife to expose button.
What is the CPT code for ACL revision?
Because there is also no code for a revision (re-do) arthroscopic ACL reconstruction, this procedure could be reported with either code 29999 (unlisted) or code 29888-22. An open revision ACL could also be reported with the unlisted code (29999) or by appending modifier –22 to the original ACL code.
What if I report the wrong ICD-9 code for ACL reconstruction?
Reporting the wrong ICD-9 code may mean you’ll have to answer questions later about the medical necessity of the procedure. The CPT code for an arthroscopic ACL reconstruction is 29888, “Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction.”