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CPT 20924: Tendon and Ligament Repair with Autograft Harvest
CPT code 20924 denotes surgical repair of tendons and ligaments using graft material harvested from the patient’s own tendons (autograft), such as the palmaris, toe extensor, or plantaris tendons. This procedure is a key option in reconstructive orthopedic and hand surgery when local repair is insufficient. Nationally, proper coding of this service affects procedure reporting, claims adjudication, and aggregate utilization statistics for musculoskeletal reconstructive care.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, common places of service (hospital operating room and ambulatory surgical centers), and the typical surgical intent (reconstruction using autograft tendon tissue). The publication provides benchmarks for coding practice, notes on common modifiers used in billing, and describes implications for coverage and claims processing. It also outlines how this code interacts with related procedure coding in orthopedic and hand surgery settings.
The content is designed to help billing managers, compliance officers, and clinical coders understand the clinical basis of CPT code 20924, how it is documented in operative reports, and what to expect in payer adjudication patterns. Data not available in the input includes specific payer fee schedules, frequency statistics, and linked ICD-10 diagnosis codes.
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Billing Code Overview
CPT code 20924 describes a surgical procedure in which a provider repairs damaged tendons and ligaments using autologous graft material harvested from the patient's own tendons. Common donor tendons include the palmaris tendon in the hand, the toe extensor tendon in the foot, or the plantaris tendon in the ankle.
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Service type: Surgical tendon/ligament reconstruction with autograft harvest
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Typical site of service: Hospital operating room or ambulatory surgical center, depending on clinical complexity and patient factors