A 15-year-old patient presents with a recurrent patellar instability. Attenuation of medial soft tissue structures as well as a tibial tubercle to trochlear groove (TT-TG) of greater than 20 was identified. The patient underwent a medial patellofemoral ligament (MPFL) reconstruction with a tibial tubercle osteotomy with anteromedialization. What are the appropriate CPT codes for the tibial tubercle osteotomy with anteromedialization and medial patellofemoral ligament (MPFL) reconstruction?
Based on the operative report submitted, CPT code 27418, Anterior tibial tuberclepasty (eg, Maquet type procedure), should be reported for the left tibial tubercle osteotomy with anteromedialization procedure performed and CPT code 27427, Ligamentous reconstruction (augmentation), knee; extra-articular, for the medial patellofemoral ligament reconstruction performed. In addition, HCPCS code C1713, Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable), should be reported for the devices utilized in this procedure.