Tibial tunnel bone allograft cpt
This response is based on the best information available as of 2/28/19.
#Tibial tunnel bone allograft cpt code#
a separate lateral incision is made over the lateral leg, and a flip cutting drill-reamer can be used to drill the tunnel. For example, when a surgeon performs a subtalar arthrodesis defined by CPT code 28725 (Arthrodesis subtalar) and harvests a bone graft from the proximal tibia, both 28725 and the bone graft (e.g.if performing an outside-in technique the camera is placed in the anteriomedial portal for viewing, and the specific guide can be placed through the anteriolateral portal at the previously determined position.this is over reamed to a predetermined distance depending on the chosen graft fixation technique.Reporting this as a harvest and transplant would be considered unbundling. This is considered a local bone graft, which is included in the base procedure, and should not be reported.
#Tibial tunnel bone allograft cpt skin#
the guide pin is driven out the lateral aspect of the leg through the skin Some surgeons are now harvesting bone from the proximal tibia (e.g., from the bone tunnel) and grafting it to the patellar bone defect.guides are available to help monitor back the femoral condyle back wall distance which should be approximate 1-2 mm.if performing an inside-out technique the knee is high flexed to at lease 120 degrees and a guide pin is placed through the medial portal into the medial aspect of the lateral femoral condyle at the previously determined position.Tibial tunnel was found to be anterior, perhaps more inferior than would be in an anatomic ACL insertion Femoral Tunnel was inspected and found to be slightly superior and ideal Decision made to bone graft the tunnels rather than doing a revision ACL reconstruction. the surgeon can choose between an inside-out technique or an outside-in technique of femoral tunnel drilling Bone Grafting tibial and femoral tunnels knee, failed ACL.