You Be the Coder: Medial Retinaculum- Published on Mon, Jan 01, 2001 Updated on Wed, Oct 01, 2014
Reviewed on May 20, 2015
Question: What is the correct code for an open repair of the medial retinaculum? The diagnosis is traumatic disruption of the medial retinaculum s/p total knee arthroplasty. Answer:
Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.
CPT does not have a definitive code for an open repair of the medial retinaculum (the closest is 27425 lateral retinacular release any method
). CPT states that if there is not a code that specifically identifies the procedure performed it is appropriate to use the unlisted procedure code. Since this procedure is performed on the knee 27599 (unlisted procedure femur or knee
) would be appropriate. Whenever an unlisted procedure code is charged a copy of the operative report should be sent along with the claim form to ensure appropriate reimbursement.