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Wiki Posterolateral Corner Reconstruction Knee
- Thread starter PLAIDMAN
- Start date
Jamie Dezenzo
True Blue
Per April 2003 Ortho Alert
Reader Question: Posterolateral Corner Repair Codes Vary
Question: Our surgeon performed an arthroscopic ACL reconstruction (29888) with an open posterolateral corner repair. Can we bill for both services?
Alabama Subscriber
Answer: Yes. Posterolateral corner injuries include tears of the popliteus tendon, lateral collateral ligament, lateral capsular ligament and arcuate ligament complex. The codes you report will depend on the structures that the orthopedist repairs, so you should review the orthopedist's operative note in great detail. You will probably report several codes from the following list, depending on the surgeon's documentation:
27405 ? Repair, primary, torn ligament and/or capsule, knee; collateral
27427 ? Ligamentous reconstruction (augmentation), knee; extra-articular
27428 ? Ligamentous reconstruction (augmentation), knee; intra-articular (open)
27429 ? Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular.
Reader Question: Posterolateral Corner Repair Codes Vary
Question: Our surgeon performed an arthroscopic ACL reconstruction (29888) with an open posterolateral corner repair. Can we bill for both services?
Alabama Subscriber
Answer: Yes. Posterolateral corner injuries include tears of the popliteus tendon, lateral collateral ligament, lateral capsular ligament and arcuate ligament complex. The codes you report will depend on the structures that the orthopedist repairs, so you should review the orthopedist's operative note in great detail. You will probably report several codes from the following list, depending on the surgeon's documentation:
27405 ? Repair, primary, torn ligament and/or capsule, knee; collateral
27427 ? Ligamentous reconstruction (augmentation), knee; extra-articular
27428 ? Ligamentous reconstruction (augmentation), knee; intra-articular (open)
27429 ? Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular.
daedolos
Expert
What's the difference between 27428 and 27427? Why does it state open on 27428 when all procedures in this range of codes are considered open?
Peace
?_?
Orthocoderpgu
True Blue
27427 is an extra-articular ligament like the posterior corner or MPFL, 27428 is intra-articular like the ACL or PCL.
Watch your edits because 29888 will bundle even though it's arthroscopic.
Watch your edits because 29888 will bundle even though it's arthroscopic.