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  • CPT® Code 27422 - Repair, Revision, and or Reconstruction . . . - AAPC
    The Current Procedural Terminology (CPT ®) code 27422 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint
  • Wiki - MPFL Reconstruction 27422 vs 27427 - The Difference?
    Did you mean 27422 vs 27427? I have always used 27427 as it's an extra-articular ligament reconstruction 27422 involves the tendons and or muscles Descriptions: 27427 In this procedure, the provider reconstructs the extra–articular ligaments of the knee joint He may also use a graft to
  • Wiki - KNEE SURGERY QUESTION FOR RECURRENT PATELLA INSTABILITY . . . - AAPC
    Rt knee VMO advancement for patella instability cpt 27422 Rt knee diagnostic arthroscopy cpt 29870 The patient was met in the preoperative suite where the correct operative site was marked The patient was brought to the operating room where anesthesia was initiated The patient was positioned appropriately with all bony prominences well padded
  • Wiki - medical patellofemoral ligament reconstruction - AAPC
    27422 and 27427 I struggle with this case scenario too My ortho did medial patellofemoral ligament reconstruction utilizing quadriceps tendon turndown and VMO advancement He lists 27422 and 27427 These bundle but 27428 does not bundle with 27422 and I'm wondering if his work is more intraarticular and 27428 may be more specific The surgeon states he first harvests the central third
  • 27422 or 27427?? | Medical Billing and Coding Forum - AAPC
    Our doc actually wants to bill both 27422 27427, but I feel it should be one or the other (27422) DX: Recurrent dislocating right patella Procedure: Medial patellofemoral ligament reconstruction with gracilis double looped allograft tendon fixed on the patella with two swivel lock anchors
  • Wiki - Knee procedures | Medical Billing and Coding Forum - AAPC
    29873 is a component of 27422 and a modifier is allowed So I would use: 27422 (Reconstruction of dislocating patella; eg Hauser type procedure) 29873 (Arthroscopy, knee, surgical; with lateral release) with modifier -51 for multiple procedures and -59 if the procedure was distinct or above and beyond the primary procedure
  • VMO Should Lead You to 27422 : READER QUESTIONS - AAPC
    The surgeon most likely performed the procedure to treat patellar subluxation Ask the surgeon if 27422 (Reconstruction of dislocating patella; with extensor realignment and or muscle advancement or release [e g , Campbell, Goldwaite type procedure]) appropriately matches the service that she performed
  • Wiki - How do we know if it is 27427 or 27422 - AAPC
    I know that it depends on the location of the approach as 27422:is anteriormedial and the 27427: is over the IT band but is the VMO involved both codes?scrubbed note: We then proceeded with the MPFL reconstruction We made a 3 cm incision centered over the superior medial patella A skin knife
  • Distal Tubercle Transfer : Reader Question - AAPC
    Appropriate coding selection for this procedure is 27422 (reconstruction of dislocating patella; with extensor realignment and or muscle advancement or release [e g , Campbell, Goldwaite type procedure])
  • Reinforce Knee Arthroscopy Coding - AAPC Knowledge Center
    Sarah Wiskerchen, MBA, CPC, is a senior practice management consultant with Chicago-based KarenZupko Associates She specializes in CPT® and ICD-10 orthopaedic coding education, reimbursement analysis, and process consulting Wiskerchen works with orthopaedic; ear, nose, and throat; and neurosurgery practices, nationally She is a member of the Oakbrook, Ill , local chapter





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