Torn Cruciate Ligament (CCL/ACL)
same-daydog
Typical ER cost
$3,500–$8,000
Based on US emergency hospital invoices, 2024–2025.
Symptoms to recognize
- Sudden lameness on hind leg
- Won't bear weight
- Swollen knee
- Drawer sign on exam
Typical diagnostics
- Orthopedic exam
- X-ray
- MRI sometimes
Treatment path
- TPLO or TTA surgery ($4-7K per knee)
- 8-12 weeks rehab
- Physical therapy
Insurance coverage
Yes IF past orthopedic waiting period (often 6 months). Pre-existing exclusion on contralateral leg is common.
Denial / appeal risk
High — bilateral CCL is the #2 cause of denials. Appeal with date-of-symptom documentation for the second knee.
Prevention
Weight management; controlled exercise; avoid repetitive jumping.