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Question 29888 vs 27428

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jdibble

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I could use some help with a qualified, sanctioned source that will support that an Arthroscopically aided ACL repair/reconstruction is coded with 29888 (even though that is the description of the code!) over CPT code 27428. The provider is insisting that since he did a mini-arthrotomy with the arthroscopic portion it should be billed as 27428. I have prepared a full researched response as to why it would be 29888 and not 27428 however I guess this is not good enough for my supervisor as she wants me to have supporting documentation such as AMA or AAOS that would say why the 27248 would not be appropriate. I have provided 2 Coding Alerts, one that even cites from AAOS, but apparently, she feels that our society does not count. She wants a doctor sanctioned society reply directly. I have no access to AAOS, AMA or AANA to gather any of this info. If anyone can help provide some documentation as to why 29888 is the correct code over 27428 I would appreciate them sharing!!

Thanks,
Jodi
 
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