Extensor Mechanism Allograft WITH TKA Revision

tbensonite

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Glendale, Arizona
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Hello,
I'm wondering if I can bill for the 'extensor mechanism allograft' work done along with a Single-Stage revision, total knee replacement? The procedure sounds like the doctor just took a graft and had it fit and sewn into the native quadriceps so doesn't sound like a 'reconstruction' type thing. I know if the procedure is done alone, I would use an unlisted CPT code but he did this WITH the TKR revision so I'm not sure I can actually bill for this allograft procedure separately. Maybe I should bill 27487 and append mod 22?? I can post the redacted op report if anyone wants to take a stab at this.
I would appreciate any help.

Thanks much!
 
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