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ACL - what compartment?

  1. #1
    Location
    Columbus, Ga
    Posts
    38
    Default ACL - what compartment?
    Medical Coding Books
    From what I can gather through these posts, the ACL is in the PF compartment. I have an op note and these procedures were performed:

    1- ACL reconstruction - 29888
    2- Medial Menisectomy - 29881
    3- Condroplasty of the PF - 29877
    4- Synovectomy - Med and Lat - 29876

    I would say that the Chondroplasty is included in the ACL since it is in the same compartment - deleting 29877
    Also, the Med Synovectomy is included in the Med Menisectomy - changing 29876 to 29875-59 -

    My doc is stating that the ACL is not in a compartment but I can not find any hard documentation to prove it to him... Does anyone have something that they can share so I can educate him???

  2. #2
    Default
    Code 29888 and 29889 include both limited and major synovectomy, incidental shaving/debridement of articular cartlidge. And if it is MC they will not pay the 29877 or the 29875

    Our coding would be :

    29888 844.2
    29881-51 836.0
    G0289 (not 29877) 717.7

    Hope this helps....

  3. #3
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by raemitch78 View Post
    From what I can gather through these posts, the ACL is in the PF compartment. I have an op note and these procedures were performed:

    1- ACL reconstruction - 29888
    2- Medial Menisectomy - 29881
    3- Condroplasty of the PF - 29877
    4- Synovectomy - Med and Lat - 29876

    I would say that the Chondroplasty is included in the ACL since it is in the same compartment - deleting 29877
    Also, the Med Synovectomy is included in the Med Menisectomy - changing 29876 to 29875-59 -

    My doc is stating that the ACL is not in a compartment but I can not find any hard documentation to prove it to him... Does anyone have something that they can share so I can educate him???
    The ACL, for coding purposes is located in the patellofemoral compartment. Anatomically speaking it's in the notch. I too had a doc that stated the same thing. You'll probably never find anything in writing to back up your opinion. BUT I have been told that a chondroplasty (29877) has nothing to do with an ACL repair/reconstruction. So with that I feel fine submitting 29877 and 29888 when done in the pateelofemoral compartment. Hope this helps.

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