ACL - what compartment?

raemitch78

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From what I can gather through these posts, the ACL is in the PF compartment. I have an op note and these procedures were performed:

1- ACL reconstruction - 29888
2- Medial Menisectomy - 29881
3- Condroplasty of the PF - 29877
4- Synovectomy - Med and Lat - 29876

I would say that the Chondroplasty is included in the ACL since it is in the same compartment - deleting 29877
Also, the Med Synovectomy is included in the Med Menisectomy - changing 29876 to 29875-59 -

My doc is stating that the ACL is not in a compartment but I can not find any hard documentation to prove it to him... Does anyone have something that they can share so I can educate him??? :eek:
 

Thath041

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Code 29888 and 29889 include both limited and major synovectomy, incidental shaving/debridement of articular cartlidge. And if it is MC they will not pay the 29877 or the 29875

Our coding would be :

29888 844.2
29881-51 836.0
G0289 (not 29877) 717.7

Hope this helps....
 

nyyankees

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From what I can gather through these posts, the ACL is in the PF compartment. I have an op note and these procedures were performed:

1- ACL reconstruction - 29888
2- Medial Menisectomy - 29881
3- Condroplasty of the PF - 29877
4- Synovectomy - Med and Lat - 29876

I would say that the Chondroplasty is included in the ACL since it is in the same compartment - deleting 29877
Also, the Med Synovectomy is included in the Med Menisectomy - changing 29876 to 29875-59 -

My doc is stating that the ACL is not in a compartment but I can not find any hard documentation to prove it to him... Does anyone have something that they can share so I can educate him??? :eek:
The ACL, for coding purposes is located in the patellofemoral compartment. Anatomically speaking it's in the notch. I too had a doc that stated the same thing. You'll probably never find anything in writing to back up your opinion. BUT I have been told that a chondroplasty (29877) has nothing to do with an ACL repair/reconstruction. So with that I feel fine submitting 29877 and 29888 when done in the pateelofemoral compartment. Hope this helps.
 
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