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Thread: Confused/ ACL Debridement

  1. #1

    Default Confused/ ACL Debridement

    AAPC: Back to School

    I'm really looking for some help with this one our Doctor performed a medial meniscectomy them proceeded to debride the ACL. I've seen two different sources on this with two different opinions, one states to use 29999, and the other states the the debridement would be intergrel to the to the main procedure.

    Any advice would be greatly appreciated

  2. #2

    Default debrid ACL

    try 29888 with mod 22 or 29999

    Ref: material Coding for Knees and Shoulders by Kelly, Sloan and Associates
    States What is not included in 29888
    Meniscus repair
    Extra articular augmentation
    Chondroplasty seperate compartment
    removal of loose bodies

  3. #3
    Join Date
    Apr 2007
    Long Island/New York


    I would think you would bill the unlisted 29999 for the ACL debridement via scope + the medial meniscectomy (29881).

    Since the ACL is in the patellafemoral compartment and the the meniscus was in the medial compartment it would be ok to bill both. Was there a repair of the ACL with graft to warrant a 29888?

    Anyone else?

  4. #4

    Default ACL Debridement

    No there was no repair of the ACL done, only a debridement.
    Do you have any type of documentation that states to use the unlisted code
    for an ACL debridement ???

  5. #5
    Join Date
    Apr 2007
    Long Island/New York


    Yes...try this www.aaos.org/news/aaosnow/mar09/managing3.asp. It's a Q&A.

  6. #6


    Thanks for the link, I always like to have back ups

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