CPT^® 27422, Under Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint

The Current Procedural Terminology (CPT^®) code 27422 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint.

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Summary

In this procedure, the provider transfers the entire patellar tendon insertion as a bone block to treat a dislocating patella, a condition in which the patella, the knee cap, slips out of its normal position and causes pain and swelling. He also performs realignment of the extensor muscles along with muscle transfer or release to improve the knee joint stability.

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MPFL through arthroscope

For an arthroscopic MPFL repair, I'd use unlisted 29999 compared to 27557. For an arthroscopic MPFL reconstruction, I'd use unlisted 29999 compared to 27422.... [ Read More ]

KNEE SURGERY QUESTION FOR RECURRENT PATELLA INSTABILITY

[QUOTE="amyjph, post: 507682, member: 172045"] It's not 27428. You are correct. 27428 is if open ACL or PCL is done for example as they are intra-articular. The diagnostic scope 29870 can't be reporte... [ Read More ]

KNEE SURGERY QUESTION FOR RECURRENT PATELLA INSTABILITY

It's not 27428. You are correct. 27428 is if open ACL or PCL is done for example as they are intra-articular. The diagnostic scope 29870 can't be reported separately as it has "separate procedure" des... [ Read More ]

KNEE SURGERY QUESTION FOR RECURRENT PATELLA INSTABILITY

I am confused on this one. Since the MPFL is extra-articular I think CPT wound be 27427. Can someone look at the note below and tell me if the codes below are correct that the surgeon wants to use. ... [ Read More ]

Assistance please Ortho coders....patellectomy?

Hello all you Ortho gurus! Looking for an appropriate CPT code for a patellectomy due to hardware failure after a TKA. Pt has already had if reconstructed (27422), now it is time to remove it. DX T84.... [ Read More ]

Open Vastus Medialus (VMO) Plication or Open Medial Reefng

[QUOTE="kgrah71, post: 490203, member: 237187"] I am looking for a comparison code for the above procedure. Per AAOS, when done in conjuction with an arthroscopic lateral release procedure, this is s... [ Read More ]

Open Vastus Medialus (VMO) Plication or Open Medial Reefng

I am looking for a comparison code for the above procedure. Per AAOS, when done in conjuction with an arthroscopic lateral release procedure, this is separately billable.https://www5.aaos.org/CustomT... [ Read More ]

MPFL Reconstruction 27422 vs 27427 - The Difference?

[QUOTE="kimberlywatson, post: 490042, member: 407139"] Did you mean 27422 vs 27427? I have always used 27427 as it's an extra-articular ligament reconstruction. 27422 involves the tendons and/or muscl... [ Read More ]

MPFL Reconstruction 27422 vs 27427 - The Difference?

Did you mean 27422 vs 27427? I have always used 27427 as it's an extra-articular ligament reconstruction. 27422 involves the tendons and/or muscles. Descriptions: 27427 In this procedure, the provid... [ Read More ]

MPFL Reconstruction 27422 vs 27427 - The Difference?

Hello Everyone, I was wondering if there is any clear distinction between using 27422 or 27427 for an MPFL reconstruction? Researching online, I just keep seeing all these huge debates on the topic. ... [ Read More ]

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