Surgery/Musculoskeletal System (April 2009)

April 2009 page 8c Surgery: Musculoskeletal System, 27428, 27429, modifier 51 (Q&A) Question: If a surgeon is reconstructing both the anterior cruciate ligament and the posterior cruciate ligament in the same knee, is it correct to report code 27428 x 2, or does the code take into account multiple ligamentous reconstructions? If the medial cruciate ligament also was reconstructed, would it be appropriate to report CPT code 27429 x 3 to represent each ligament reconstructed? Answer: It would be appropriate to report CPT code 27428 , Ligamentous reconstruction (augmentation), knee; intraarticular (open) , for the anterior cruciate ligament, code 27428...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article presents a CPT Assistant question-and-answer focused on musculoskeletal surgery coding for knee ligament reconstruction. It is relevant for coders, billers, and auditors who work with orthopedic procedure reporting and modifier application. The discussion addresses how the article frames reporting scenarios involving multiple ligament procedures and the use of CPT modifiers in that context.

Why This Topic Matters

Orthopedic procedure claims can be affected by how reconstruction procedures are reported and whether multiple procedures or distinct services are identified separately. This article helps readers understand the scope of the April 2009 guidance and the type of coding issue being discussed without replacing the full premium content.

Article Sections

  1. April 2009 page 8c

    A short Q&A page from CPT Assistant covering musculoskeletal surgery coding topics in an April 2009 issue.

What You Will Learn

  • The general topic area addressed by the April 2009 musculoskeletal surgery Q&A
  • How the article presents coding questions involving knee ligament reconstruction
  • What kinds of modifier-related issues are discussed in the article
  • Which procedure coding scenarios are being analyzed at a high level

Who Should Read This

  • Medical coders
  • Coding auditors
  • Orthopedic billing staff
  • Compliance staff
  • Physician practice managers

Codes Discussed

Modifiers Discussed


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