Get your surgeon's John Hancock to put your best foot forward When you-re reporting ACL thermal shrinkage or any of the other numerous orthopedic procedures requiring an unlisted procedure code, you need a letter that's brief but jam-packed with crucial information for your payer. Try this: Create your own letter using this template from orthopedic coding expert Annette Grady, CPC-Ortho, CPC-H, CPC-I, CPC-P, CCS-P, PCS, FCS, senior orthopedic compliance auditor with The Coding Network and coding consultant.