What is CPT 27427?
CPT® Code 27427 – Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint – Codify by AAPC.
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 the CPT code for open ACL reconstruction?
CPT and AAOS place no restrictions on reporting these two services during the same session. The ACL procedure is reported with code 29888, Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction.
What is the CPT code for Mpfl repair?
Current Procedural Terminology (CPT) codes (27427, 27424, 27422, and 27420) were used to identify patients undergoing an MPFL reconstruction, combined with the International Classification of Diseases, Ninth Revision, codes 717.89 718.36, 718.86, and 836.3 for a diagnosis related to patellar dislocation and instability …
What is the difference between 27422 and 27427?
I have always used 27427 as it’s an extra-articular ligament reconstruction. 27422 involves the tendons and/or muscles. In this procedure, the provider reconstructs the extra–articular ligaments of the knee joint. He may also use a graft to reinforce the repair of the ligament.
How do you bill an unlisted procedure code?
When billing a service or procedure, select the CPT or HCPCS code that accurately identifies the service or procedure performed. If no such code exists, report the service or procedure using the appropriate unlisted procedure or Not Otherwise Classified (NOC) code (which often end in 99).
Which CPT codes are bundled?
Thus, CPT codes 29888 and 29889 are bundled into the more comprehensive procedures reported as CPT codes 27427, 27428, and 27429.
Does CPT 29888 include graft?
ACL surgery is defined by CPT 29888 (Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction). This CPT code is valued to include the harvesting and placement of a graft.
What are the 4 types of ACL reconstruction options?
Types of ACL Surgery
- Autograft. Your doctor uses a tendon from somewhere else in your body (like your other knee, hamstring, or thigh).
- Allograft. This type of graft uses tissue from someone else (a deceased donor).
- Synthetic graft. This is when artificial materials replace the tendon.
What are the two types of ACL grafts?
The 2 main groups used for grafts in ACL reconstruction are allografts and autografts. The theoretical advantages of an allograft are elimination of donor site morbidity, decreased pain, shorter operating and rehabilitation times, and better cosmesis. Three autograft options are commonly used.
What is the difference between CPT code 27422 and 27427?
Is MPFL reconstruction arthroscopy?
MPFL reconstruction using autologous gracilis tendon under arthroscopy appears to be a reliable and safe method for treating recurrent patellar dislocation.
What is the CPT code for MPFL reconstruction with allograft?
We use CPT 27428 for MPFL reconstruction…. MPFL is an extra-articular Ligament (medial)…even though there is work performed inside the knee.
What is VMO advancement surgery?
The most widely used procedure described by Insall (29), involves advancement of the VMO, which is detached and sutured onto the middle and distal aspects of the patella. The aim of the procedure is to compensate for the presence of VMO dysplasia (proximal insertion) in patients with patellar instability (29).
When would you use an unlisted procedure code?
If no such procedure or service exists, then report the service using the appropriate unlisted procedure or service code.” Use of an unlisted code is common when a physician performs a new procedure or utilizes new technology when no other CPT code adequately describes the procedure or service.
What are unlisted procedures?
Unlisted codes are assigned when submitting claims for procedures/services where a CPT/HCPCS code is not otherwise specified. According to the AMA (American Medical Association) instructions for the CPT Code Set, select the names of the procedure/service that accurately identifies the service performed.
What are bundled procedures?
Bundling refers to the use of a single CPT code to describe two separate procedures that were performed at the same time. Bundling rules typically require a healthcare provider to use the code for the more significant procedure when a minor procedure is performed at the same time.
Which procedure code is unbundled?
0179-Procedures that Include Imaging: Unbundling.
Is ACL repair the same as reconstruction?
ACL surgery is a repair or reconstruction of the anterior cruciate ligament (ACL). The ACL is an important soft-tissue structure in the knee that connects the femur to the tibia. A partially or completely torn ACL is a common injury among athletes.
What are 3 types of ACL repair?
Three types of grafts can be used with ACL surgery:
- Autograft. Your doctor uses a tendon from somewhere else in your body (like your other knee, hamstring, or thigh).
- Allograft. This type of graft uses tissue from someone else (a deceased donor).
- Synthetic graft. This is when artificial materials replace the tendon.
What is the gold standard for ACL reconstruction?
BPTB has historically been considered the “gold standard” for ACL reconstruction. The BPTB autograft is frequently chosen because of its excellent clinical results and high level of patients satisfaction in long term followup.
What are the three options for ACL grafts?
In general, there are three main graft options: a patellar tendon autograft, a hamstring autograft, and an allograft. An autograft comes from the patient’s own body, whereas an allograft comes from a cadaver donor.
What is open MPFL reconstruction?
MPFL reconstruction involves an autograft or allograft that is fixed into tunnels in the patella and medial femoral condyle, and under appropriate tension, act as a restraint to recurrent lateral instability.
Is MPFL reconstruction major surgery?
No. MPFL reconstruction is performed as an outpatient surgery. You will arrive approximately 1.5 – 2 hours prior to your procedure. Typically, you will be able to return home about two hours after your surgery is over.