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ACL reconstruction with allograft vs autograft

  1. Default ACL reconstruction with allograft vs autograft
    Medical Coding Books
    I would really appreciate your assistance with clarification:

    When an ACL reconstruction is performed (29888) - is the allograft included in the procedure? Is a hamstring autograft included as well?

    Thanks

    Denise

  2. Default
    All havesting and insertion of fascial, tendon,or bone graft are included in the code 29888 per the "complete global service data vloume 2"

  3. #3
    Location
    Long Island/New York
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    1,271
    Wink
    the only way you can capture an autograft for an ACL 29888 is if the autograft is taken from the OTHER leg. That would allow you to capture the prep, etc. for that leg. Hope this helps.

  4. Default Thanks Doverred and Nyyankees
    I appreciate your help.

    Nice game last nite NYYANKEE - I am a huge Red Sox fan and last nite nearly killed me. Bet it was great for you.

    Thanks again guys.

    Denise

  5. #5
    Location
    NEW ORLEANS
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    956
    Default
    even the allograft, dont they rknow how much it cost !!!!!!!!!!!!!!!!!!!!!!!!!!!

  6. Default
    You can bill for the allograft with a HCPCS code and invoice to the insurance, most payers (not Medicare) will pay for it since your facility had to purchase it from a company, you need to be reimbursed somehow for it.

    Just my two cents!
    Susan

  7. #7
    Location
    Long Island/New York
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    1,271
    Default
    Quote Originally Posted by desperate denise View Post
    i appreciate your help.

    Nice game last nite nyyankee - i am a huge red sox fan and last nite nearly killed me. Bet it was great for you.

    Thanks again guys.

    Denise
    we're playing ok...need our regulars back. I'm sure the red sox will be in the mix come this summer.

  8. #8
    Default
    Quote Originally Posted by nyyankees View Post
    the only way you can capture an autograft for an ACL 29888 is if the autograft is taken from the OTHER leg. That would allow you to capture the prep, etc. for that leg. Hope this helps.
    How about a doctor who takes the graft from the other side on everyone just to get the extra money. Is there any criteria, ie same knee PTB has already been used,

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