Results 1 to 5 of 5

bone-patella tendon-bone transfer

  1. #1
    Default bone-patella tendon-bone transfer
    Medical Coding Books
    I have an op note for a arthroscopic repair of partial medial & lateral menisectomies and an open reconstruction of anterior cruciate ligament with bome-patella tendon-bone transfer. There was also an osteoplasty done during the open part of the procedure. The pt had a "locking" knee, not dislocating. I guess my questions are regarding the transfer and whether or not the osteoplasty would be coded as a separate open procedure as well.

    I was going to use these codes :
    29880
    27407 or 27427
    27599 (?)

    I'm not sure what code to use for the graft.
    Any help would be appreciated. I am fairly new at ortho coding (obviously)

  2. #2
    Default
    Actually, after looking more closely I chose codes;

    29880
    27407-59
    27428-59

    What do you think?

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I see 29880 and 27248. What was the osteoplasty performed on (which bone)?

  4. #4
    Default
    I can't actually tell. He said he resected the retropatellar fat pad and entered the joint formally. I think it might have been the tibia. It was by the notch. Why would you use 27248? Did you mean 27428? Also, why wouldn't you use the 24707?

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    yes I transposed the #'s sorry, 27428 isthe correct code. The 27407 is for the repair of the ligament when in reality he is reconstructing it (or at least thats what I gathered without the op note). Even though the codes do not bundle, I feel that it was either one or the other, not both procedures performed. Also you would not need a 59 because the 27428 and 29880 do not bundle.

    I would confirm where the osteoplast took place. There is a code for an osteoplasty of the tibia.

    Hope this makes sense..if not..you know how to reach me

Similar Threads

  1. bone-patellar tendon-bone autograft
    By efuhrmann in forum Orthopaedics
    Replies: 2
    Last Post: 07-30-2013, 02:56 PM
  2. Biopsy- bone or bone marrow ????cpt code
    By Barbs63 in forum Orthopaedics
    Replies: 0
    Last Post: 05-02-2013, 02:48 PM
  3. Replies: 0
    Last Post: 10-19-2012, 07:53 AM
  4. ACL reconstruction with bone-tendon-bone allograft
    By MollyBK62 in forum Orthopaedics
    Replies: 3
    Last Post: 05-01-2012, 12:17 PM
  5. Replies: 0
    Last Post: 11-01-2011, 11:12 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.