Abrasion chrondroplasty

nabernhardt

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I understand there must be certain documentation to be able to code out for an abrasion chrondroplasty. I have a couple of different ones where I am not sure whether I should/should not code as an abrasion chondroplasty. Would someone mind reviewing and giving me a second opinion please? thanks

1.there was significant grade 3 disease throughout the weightbearing
portion of the medial femoral condyle. This was all débrided with an abrasion chondroplasty with a straight and curved 4.5 shaver.

2. The medial compartment clearly had grade 3 disease, but there was no bare bone showing. An abrasion chondroplasty converting flaking, diseased, delaminating cartilage was completed.
 

nyyankees

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Long Island/New York
Best answers
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I understand there must be certain documentation to be able to code out for an abrasion chrondroplasty. I have a couple of different ones where I am not sure whether I should/should not code as an abrasion chondroplasty. Would someone mind reviewing and giving me a second opinion please? thanks

1.there was significant grade 3 disease throughout the weightbearing
portion of the medial femoral condyle. This was all débrided with an abrasion chondroplasty with a straight and curved 4.5 shaver.

2. The medial compartment clearly had grade 3 disease, but there was no bare bone showing. An abrasion chondroplasty converting flaking, diseased, delaminating cartilage was completed.
Look at 29877 - usually if there is a microfracture down to bleeding bone documented I use 29879
 
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