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AHA Coding Clinic® for HCPCS - 2020 Issue 4; Ask the Editor

Collateral ligament repair with an InternalBrace

A right elbow lateral collateral ligament rupture, ripped from the origin with gross instability of the lateral soft tissue, was repaired with local tissue and application of an InternalBrace™. After an incision was made along the lateral aspect of the elbow, the center axis of rotation was confirmed and holes were pre-drilled for the insertion of the InternalBrace system with placement of LabralTape™ and a FiberWire® suture. The elbow was then reduced and a horizontal stitch was placed through the origin of the lateral collateral ligament and tied off using FiberWire suture. Next, the isometric access was identified and holes were pre-drilled for the insertion of the second part of the InternalBrace while holding the reduction in place. The two ends of the LabralTape were placed on the suture anchor and implanted. Next, the FiberWire suture was used to reduce and repair the lateral collateral ligament and the ends were tied off. At that point, a second suture anchor was placed more proximally at the supracondylar ridge, holes were pre-drilled and the suture anchor was deployed. The soft tissue was pulled proximally and pinched into the bed of origin. When a right elbow lateral collateral ligament repair with both local tissue and application of an InternalBrace is performed, is the procedure reported with CPT code 24343 or is it more appropriate to report the unlisted code, 24999, since they are using an InternalBrace in addition to local tissue? ...

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