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