Becker’s ASC Review: 15 CPT and Coding Issues for Orthopedics and Spine

AAPC member Stephanie Ellis, RN, CPC was a recent speaker at the 10th Annual Orthopedic, Spine and Pain Management-Driven ASC Conference in Chicago and highlighted ASC coding issues for 15 CPT codes during her presentation.

ACL repairs and reconstructions. Arthroscopic ACL repairs are coded 29888,” Ellis said.

“She said to use code 27407 for an open ACL repair. She also noted that the hamstring autografts harvested from the back of the same knee are not separately billable.  Bill purchased allografts with code L8699 or other appropriate implant code,” stated the article on Becker’s ASC Review.

Ambulatory Surgical Center CASCC

Read about all 15 issues here.

2 Responses to “Becker’s ASC Review: 15 CPT and Coding Issues for Orthopedics and Spine”

  1. Allison Finer says:

    I found this article when googling L8699 and V9740. It states that the MUE on L8699 has changed and that Medicare will accept whatever number of implants the doctor used. However, my management at Houston Methodist Hospital (understandably) needs the information printed on the CMS website to refer to. The link to the article is below. Does anyone here have the location of the defensible rhetoric on Cms.gov that can be used to defend coding during any audit? So much thanks again! Allison Finer, CPC

  2. Allison Finer says:

    Here’s the link for the question I just now sent. L8699 and V9740 have new MUEs in 2019 as per the American Urological society. They even say we can bill retroactively for the difference between the old MUE of 4 for L8699, implant, and the number the physician actually used.

    But my management quite understandably needs the CMS rhetoric from its site to use in case our rebilling is audited. Do you have the location of that rhetoric? Much thanks again, Allison Finer, CPC

    https://community.auanet.org/blogs/policy-brief/2018/09/06/outpatient-and-asc-edit-in-effect-for-prostatic-ur

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