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Confused/ ACL Debridement

  1. Default Confused/ ACL Debridement
    Medical Coding Books
    Hi,

    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
    Meniscectomy
    Meniscus repair
    Extra articular augmentation
    Chondroplasty seperate compartment
    removal of loose bodies

  3. #3
    Location
    Long Island/New York
    Posts
    1,271
    Default
    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. 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
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Yes...try this www.aaos.org/news/aaosnow/mar09/managing3.asp. It's a Q&A.

  6. Default
    Thanks for the link, I always like to have back ups
    Cheers,
    Bella

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