AHA Coding Clinic® for HCPCS - 2016 Issue 1; Ask the Editor

Anterior longitudinal ligament

A 16-year-old high school soccer player who sustained injury to his left knee while playing soccer at school was diagnosed with an anterior cruciate ligament (ACL) tear and a lateral meniscus tear. The patient underwent a partial meniscectomy, an ACL reconstruction of the left knee, and reconstruction of the anterior longitudinal ligament (ALL). What is the correct CPT code assignment for an ALL reconstruction? Would the ALL reconstruction be considered inherent in CPT code 27427, Ligamentous reconstruction (augmentation), knee; extra-articular, or would CPT code 29999, Unlisted procedure, arthroscopy, be more appropriate in this case?   ...

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