Acl W/graft

drussotti

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which code(s) are used for an ACL reconstruction,allograft bone-tendon-bone? also if it is an ACL w/autograft is it appropriate to use 29888 w/ 20902? hope someone can help. thanks.
 

Deadpd

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Salt Lake City
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ACL repair

If it is an autograft and they go to a totally different sight, like the other leg or achelis, you can use the 20924-59. But if they take it right there like from the gracilis you can't bill for that. As for allograft, I have used the HCPCS C1713 and have been paid. I'm sure there's a better code out there for this, and I'm looking for that. So if anyone out there reads this and knows the answer, please let us know.
 

mbort

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I use C1762 for the allograft for the ACL as C1713 is for screws and anchors and is usually billed in conjuction since they use those too.
 

Pugface

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29888 and 29889 include both limited and major synovectomy, incidental shaving/debridement of articular cartilage, "notch plasty", AND HARVESTING OF TENDON (Hamstring, patellar) GRAFTS.
So, I would not bill the 20902. Nor would I bill for the C1762 and other C-HCPCS codes unless we supplied the screws and anchors. In fact, I have never billed them as I bill for the Surgeon and he did not supply them.
 
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