tci Part B Insider - 2004 Issue 5

Arthroscopy: Use Modifier -22 With 29888 for ACL Revisions

Send letter explaining how procedure differed from normal reconstructionAnother surgeon goofed, so your surgeon has to go in and perform an enormously complex revision of his reconstruction of the anterior cruciate ligament. How should you code it? Sometimes patients can walk around for years with a flawed ACL reconstruction, only to reinjure themselves playing sports or twisting their knees. Unfortunately, there's only one code for these taxing and time-consuming operations: CPT 29888 (Arthro-scopically aided anterior cruciate ligament repair/augmentation or reconstruction). How do you convey the extra work your physician did? There are a number of factors that can make...

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