tci Outpatient Facility Coding Alert - 2014 Issue 1

Orthopedics: Learn Why 'Repair' vs. 'Reconstruction' Can Make or Break Your Collateral Ligament Claims

Tip: Knowing the surgeon’s preferred terminology can point you in the right direction. When an elbow sprain needs surgery, you need to comb through the physician’s documentation in search of two important details: 1) whether he performed a repair or a reconstruction 2) whether the procedure focused on the lateral or medial collateral ligaments. Use Graft as Repair/Reconstruction Guide CPT® offers two repair codes for elbow collateral ligaments, and two for reconstruction: 24343 -- Repair lateral collateral ligament, elbow, with local tissue 24345 -- Repair medial collateral ligament, elbow, with local tissue. 24344 -- Reconstruction lateral collateral...

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