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ACL REPAIR WITH GRAFT TAKEN FROM A DISTANCE

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80
Location
Breaux Bridge, LA
The CPT Manual states that CPT code 20924, indicates a tendon graft obtained "from a distance." You cannot bill this code separately from CPT code 29888 (ACL repair where a tendon graft is obtained from a separate incision on the same knee, which is the standard in these types of procedures). This does not constitute a far enough distance to bill for it separately, according to the CPT Assistant.



The tendon graft procedure is only billable when the graft is obtained from the ankle area on the same leg, from the opposite knee, or from another distant area.
With the above information in mind, my question is: You will get a (0) edit saying these can never be billed together, a modifier is not allowed to override this relationship. So how do any of you handle this situation?
Thanks,
 
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