May 2017 page 10
Surgery: Musculoskeletal System
Question: Is it appropriate to report codes 29888 for arthroscopically aided anterior cruciate ligament (ACL) repair and 27427 for open reconstruction (with graft) of the medial collateral ligament of the knee when performed at the same operative session?
Answer:Yes, code 27427, Ligamentous reconstruction (augmentation), knee; extra-articular, is an example of a service not included in the global service package for code 29888, Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction. Therefore, codes 27427 and 29888 may be reported for the same operative session. Modifier 51, Multiple Procedures, should be appended to the...
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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 reviews musculoskeletal surgery coding questions from CPT Assistant and explains how reporting guidance applies to selected orthopedic procedures and operative scenarios. It is intended for coders, billers, and clinical documentation staff who need to understand when multiple procedures or conversion-related surgery are addressed in the musculoskeletal system. The article also highlights related modifier usage and documentation considerations discussed in the source.
Why This Topic Matters
Orthopedic operative sessions often involve more than one procedure or a conversion from prior surgery, making accurate CPT reporting dependent on the published guidance reviewed here.
Article Sections
May 2017 page 10
An introduction to the musculoskeletal surgery Q&A content published in this CPT Assistant issue.
What You Will Learn
How the article frames selected musculoskeletal surgery coding questions
What general reporting topics are discussed for orthopedic operative sessions
Which kinds of modifier and documentation subjects are addressed in the Q&A format
How CPT Assistant presents guidance for selected knee and hip surgery scenarios
Who Should Read This
Medical coders
Orthopedic surgery billers
Clinical documentation specialists
Physician practices
Revenue cycle staff
Codes Discussed
CPT: 29888
CPT: 27427
CPT: 27132
Modifiers Discussed
CPT: 51
CPT: 22
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