Reader Question: Posterolateral Corner Repair Codes Vary
Question: Our surgeon performed an arthroscopic ACL reconstruction (29888) with an open posterolateral corner repair. Can we bill for both services?
Answer: Yes. Posterolateral corner injuries include tears of the popliteus tendon, lateral collateral ligament, lateral capsular ligament and arcuate ligament complex. The codes you report will depend on the structures that the orthopedist repairs, so you should review the orthopedist's operative note in great detail. You will probably report several codes from the following list, depending on the surgeon's documentation:
27405 ? Repair, primary, torn ligament and/or capsule, knee; collateral
27427 ? Ligamentous reconstruction (augmentation), knee; extra-articular
27428 ? Ligamentous reconstruction (augmentation), knee; intra-articular (open)
27429 ? Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular.
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