Wiki ACL Revision/Meniscal Reapir

[cwilson3333]

Procedure: Revision ACL Reconstruction with Hamstring Autograft and
Medial Meniscal Repair

Billing: CPT 29888 [failed ACL reconstruction]
CPT 29882 [meniscal repair

Can I also bill for removal of the previous screw fixation.
Hamstring Autograft was used in the revision, but do not think this is
billable. Should I modify 29888 with "22" for the revision.

Been doing this a long time, but like to double-check myself every now and then.

Thanks for any and all info.

 

[nyyankees]

Procedure: Revision ACL Reconstruction with Hamstring Autograft and
Medial Meniscal Repair

Billing: CPT 29888 [failed ACL reconstruction]
CPT 29882 [meniscal repair

Can I also bill for removal of the previous screw fixation.
Hamstring Autograft was used in the revision, but do not think this is
billable. Should I modify 29888 with "22" for the revision.

Been doing this a long time, but like to double-check myself every now and then.

Thanks for any and all info.

You can't bill autograft for any ACL. Your codes are correct 29888 and 29882 but only if screw was removed from a separate incision - if not it will be inclusive of revision. If doc documents an altered surgical field you could append the 22 mod but may have difficulty getting paid.