Anterior cruciate ligament reconstruction coding

Usually along with anterior cruciate ligament reconstruction some other knee arthroscopic procedures are also done. Here is one such example with codes



PREOPERATIVE DIAGNOSIS:

1. Right anterior cruciate ligament tear.

2. Medial meniscus tear.



POSTOPERATIVE DIAGNOSIS:

1. Right knee anterior cruciate ligament tear.

2. Medial meniscus tear bucket handle.

3. Chondmmalacia grade 3 to grade 4 lateral femoral condyle.



OPERATION PERFORMED:

1. Anterior cruiciate ligament reconstruction with a bone-patellar tendon-bone

autograft.

2. Arthroscopic partial medial meniscectomy.

3. Arthroscopic abrasion arthroplasty and chondmplasty of the lateral femoral condyle.



Here are the appropriate codes for these scenario:

Dx       Code         Description 

1        844.2        Sprain/Strain Cruciate Ligament Knee

2        836.0        Current Tear Medial Cartilage/Meniscus Knee

3        717.7        Chondromalacia of Patella

4        E928.9       Unspecified Accident

5        E849.9       Accident Occurring in Recreational/Sport Place

6        E029.9       Activities Involving Basketball

CPT      Code         Description                          Modifier      

1        29888        ACL Reconstruction               RT       

2        29879        Arthro Abr Chondroplasty      51,RT    

3        29881        Arthro Menisectomy M Or L  51,RT

 

ICD      Code       Description           

1        81.45        Repair Of Cruciate Ligament NEC

2        80.26        Arthroscopy Knee

3        81.47        Repair Of Knee NEC (Chondroplasaty)

4        80.6         Excision of Semilunar Cartilage (Menisectomy)

of Knee