Cheryl Posted Wed 22nd of February, 2017 17:00:35 PM
Would it be appropriate to use code 29888 for a revision ACL with BTB autograft? Patient had a previous ACL reconstruction.
SuperCoder Answered Thu 23rd of February, 2017 07:22:49 AM
As there is no code for a revision (re-do) arthroscopic ACL reconstruction, this procedure could be reported with either code 29999 (unlisted) or code 29888-22. An open revision ACL could also be reported with the unlisted code (29999) or by appending modifier –22 to the original ACL code
Harvesting and inserting the graft is included in code 29888, regardless of whether the graft is a patellar tendon or a hamstring tendon. If, however, the tendon is obtained from a distant site, such as the opposite leg, you may report the harvesting separately, using the most appropriate graft harvesting code (such as 2902X).