icd 10 code for acl surgery

Full Answer

What is the CPT code for arthroscopic reconstruction of ACL?

1. Coding for arthroscopic reconstruction of anterior cruciate ligament (ACL) surgery. ACL surgery is defined by CPT 29888 (Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction). This CPT code is valued to include the harvesting and placement of a graft.

What is the ICD 10 code for torn anterior cruciate ligament?

Sprain of anterior cruciate ligament of left knee. Tear of anterior cruciate ligament of left knee. ICD-10-CM S83.512A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc.

What is the CPT code for knee arthroscopy?

any meniscal shaving) or CPT® code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving)if performed in a separate compartment. Example: 29888 – ACL Repair G0289 - Arthroscopy, knee, surgical, for removal of loose body,

What if my ACL reconstruction failed?

If there was a new or recent injury that tore the reconstructed ligament, then you would be back to S83.512 _: Sprain of the ACL. But if here has not been a new injury, the S83.512 _ would not apply and more. This leaves the "Failed ACL Reconstruction" to be from some other non-traumatic cause.

What is the ICD-10 code for ACL tear left knee?

S83. 512A - Sprain of anterior cruciate ligament of left knee [initial encounter]. ICD-10-CM.

What are 3 types of ACL repair?

Three types of grafts can be used with ACL surgery:Autograft. Your doctor uses a tendon from somewhere else in your body (like your other knee, hamstring, or thigh).Allograft. This type of graft uses tissue from someone else (a deceased donor).Synthetic graft. This is when artificial materials replace the tendon.

What is ICD-10 code z96651?

Presence of right artificial knee jointZ96. 651 - Presence of right artificial knee joint | ICD-10-CM.

What is the ICD-10 code for right knee revision?

Presence of right artificial knee joint The 2022 edition of ICD-10-CM Z96. 651 became effective on October 1, 2021.

What is ACL surgery called?

What Is ACL Reconstruction? A torn ACL usually is treated with a procedure called an ACL reconstruction. Surgeons replace the damaged ligament with new ACL graft tissue — either taken from the patient's own body (tissue from the main patellar tendon or the hamstring) or donated from someone else (called an allograft).

What is the most common ACL surgery?

The patellar tendon and hamstring autografts are the most common choices for ACL reconstruction. The patellar tendon runs from the knee cap (patella) to the lower leg bone (tibia). Surgeons have the most experience with this autograft and it is the most widely used.

What is the ICD-10 code for knee surgery?

ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant. ICD-10: R26.

What is the ICD-10-CM code for knee surgery?

Presence of artificial knee joint, bilateral The 2022 edition of ICD-10-CM Z96. 653 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.

What is the ICD-10 code for knee pain?

ICD-10 Code for Pain in unspecified knee- M25. 569- Codify by AAPC.

What is the ICD-10 code for status post arthroplasty?

Aftercare following joint replacement surgery Z47. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z47. 1 became effective on October 1, 2021.

What is revision surgery of the knee?

A knee revision is the replacement of prosthetic implants in a person who previously had a total knee replacement. In this surgery, known as a "reoperation," an original prosthesis is removed and a new prosthesis put in place.

How do you code a knee replacement?

Total knee replacement is classified to code 81.54 and involves replacing the articular surfaces of the femoral condyles, tibial plateau, and patella.

What is the ICd 10 code for a failed ACL tear?

If a patient has a failed ACL tear of the left knee and ends up having an ACL revision done.... do we use the ICD 10 code S83.512D or T84.410A or both? Any help or input would be greatly appreciated.

What is S83.512A?

The patient at one time had a traumatic ACL Tear (S83.512A) which was treated by ACL Reconstruction. Some time after the original procedure, it was found that the "Reconstruction" had failed, but the reason for this is not given.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35090, Cosmetic and Reconstructive Surgery. Please refer to the LCD for reasonable and necessary requirements.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted. The following ICD-10-CM code supports medical necessity and provides coverage for (CPT) code: 15781 for Dermabrasion.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is ACL repair?

29888 – ACL Repair G0289 - Arthroscopy, knee, surgical, for removal of loose body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

What is the HCPCS code for knee surgery?

An important HCPCS code is G0289, Arthroscopy, knee, surgical, for removal of loose body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee. This code is used for Medicare to report the procedure in that description, when performed in a separate compartment of the knee during the same operative session. It is not appropriate to use code 29877 even with a modifier.

What is 29880 coded for?

29880 Arthroscopy medial and lateral meniscectomy G0289 for the Arthroscopic removal of a loose body in a separate compartment 29880 is coded for the medial AND lateral meniscectomy Since the loose body removal was done in a separate compartment (patellofemoral), the G0289 is coded.

What is the code for a meniscectomy?

“From a CPT® coding perspective, if debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then only code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving), should be reported. However, if debridement or shaving of articular cartilage is performed in one compartment of the knee and a meniscectomy is performed in a different compartment of the knee, then codes 29877, Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty), and 29881 should be reported.”

Is G0289 a synovectomy?

29876 for the extensive synovectomy is the only code reported. G0289 for the loose body is NOT CODED because the synovectomy was done in the same compartment as the loose body and therefore it was not in a separate compartment and is not to be coded.