AMA CPT® Assistant - 2009 Issue 4 (April)

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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