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Thread: Acl redo

  1. #1

    Default Acl redo

    AAPC: Back to School
    I need help with a code selection for a redo ACL reconstruction. Because of loss of fixation (broken screw on initial reconstruction) four days after initial procedure, the surgeon went back and removed the screw, and did "re-fixation proximal with a toggle lock." Operative report says "The screw was in the intercondylar notch. It was removed. Using a toggle lock system, the previous graft was pulled into place in the previous femoral tunnel and secured at least 20-23 mm of soft tissue proximally and over 20 distally. This is a 4 strand ACL graft. It secured this nicely. It was tied distally over a button."

    What codes should be used? 20680 for removal hardware deep and ??? or 29888-78?

    Thank you for your help!

  2. #2


    i would bill 29888-78

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