Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

ACL RECON WITH ANTEROLATERAL RECON CPT CODING

Charlene Posted Thu 31st of March, 2016 16:37:54 PM

Surgeon performed arthroscopic revision of a previous ACL Repair (29888), and anterolateral ligament reconstruction w/hamstring auto graft from the same side (27427). The two codes are bundled per CCI, but 29888 is allowed to be unbundled w/modifier.
Does this scenario meet the definition of separate structure (XS) or
Unusual non-overlapping service (XU)?

SuperCoder Answered Fri 01st of April, 2016 01:48:42 AM

Yes this scenario meets the definition of unusual non-overlapping service (XU).
Modifier XU is allowed with CPT code 29888 as arthroscopic revision of a previous ACL Repair was performed, which is different from anterolateral ligament reconstruction.
Modifier XU represents The use of a service that is distinct because it does not overlap usual components of the main service.

Related Topics