Results 1 to 8 of 8

RTC Repair w/ Tissue Graft

  1. #1
    Question RTC Repair w/ Tissue Graft
    Medical Coding Books
    I have a physician who is performing a RTC Repair with a tissue graft. The "Double Syringe System" is used to prepare the graft and then is injected into the tear site. This is done arthroscopically.

    My question is would you still use 29827 for the repair or use an unlisted code?

    Any input would be helpful!

  2. #2
    Location
    South Bend
    Posts
    23
    Default
    Double Syringe System......Is this a GPS where they use platelets?

    There are a lot of coverage guidelines for those type of systems. The GPS from Biomet does look like a double syringe that's what made me think of that.

  3. #3
    Default
    I know there is an unlisted code to use for the PRP injection (86999) but I am not sure if I should use 29827 for the repair if it was performed by application of tissue graft.

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    can you post the desensitized op note for this case?
    Mary, CPC, CANPC, COSC

  5. #5
    Default
    Here is the portion of the RTC procedure.....

    "...The undersurface of the rotator cuff was examined. It was noted to be a tear of the supraspinatus tendon beginning at the rotator cuff interval and extending into a posterior directions towards the infraspinatus. The tear was 1.5-2 cm in length and was at the greater tuberosity insertion. A debridement of the tear was performed utilizing a motorized shaver. The torn tendon was debrided and removed. Heathy tendon fibers were uncovered during a debridement. A motorized bur was inserted into the shoulder and the greater tuberosity was prepared with the bur by removing the remaining fibers of the already debrided tendon from the bone and removing a portion of the subchondral bone in order to expose the tear to a bleeding bone surface.....

    (Subacromial Decompression and Distal Clavicle resection were performed)

    ...Next, a tissue graft was applied into the zone of injury at the supraspinatus. The Arthrex ACP Double Syringe System was used to prepare the graft. A total of 9 ml of blood was taken from the patient. This was placed into the Double Syringe and was placed into the Arthrex Centrifuge and spun for 5 minutes at 1500rpm. From the inner syringe 5ml of platelet rich plasma was extracted. This constituted the tissue graft and was injected at the tear site. A spinal needle was directed into the tear site under direct arthroscopic visualization. The growth factors were injected following the removal of saline from the joint."

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I would still use the 29827 for the repair. The PRP procedure will be inclusive of the 29827 per Margie Vaughts article. If you go to Margievaught.com on the left hand side of the page, look for PRP and she has had several inquiries with CPT and AMA regarding this.
    Mary, CPC, CANPC, COSC

  7. #7
    Default
    Thanks so much for your input!

  8. Default
    What is HCPCS P9020 used for with PRP?

Similar Threads

  1. RTC Repair vs Reconstruction
    By treece@gcsco.net in forum Orthopaedics
    Replies: 0
    Last Post: 08-22-2013, 09:12 AM
  2. removal of calcific tendinitis with repair of RTC
    By mabrown1994 in forum Outpatient Facilities
    Replies: 3
    Last Post: 04-05-2012, 10:04 PM
  3. Attempted RTC repair
    By khopstein in forum Orthopaedics
    Replies: 0
    Last Post: 09-28-2011, 03:07 PM
  4. Mini-open RTC repair
    By khopstein in forum Orthopaedics
    Replies: 6
    Last Post: 08-03-2011, 06:01 PM
  5. Arthroscopic rtc repair
    By NHAMBLIN010982 in forum Orthopaedics
    Replies: 2
    Last Post: 04-07-2011, 07:31 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.