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Cyclops Lesion.

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nikkisgranny

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Other than 759.89, what code would you use for a cyclops lesion?

"There was a large, soft tissue mass attached to the ACL graft consisent with a diagnosis of a cylcops lesion."
 
nikkisgranny said:
Other than 759.89, what code would you use for a cyclops lesion?

"There was a large, soft tissue mass attached to the ACL graft consisent with a diagnosis of a cylcops lesion."
Click to expand...

is the cyclops lesion documented as being "congential"? I dont think I would use 759.89 unless it is.

717.9 would be my first choice (without supporting documentation)
 
Here is the dfinition of a cyclops lesion:

A cyclops lesion, its name deriving from its resemblance to an eyeball at arthroscopy, is a complication of ACL repairs. It is also known as localized anterior arthrofibrosis, and its exact aetiology is uncertain, and may be related to gradual fraying and bunching up of ACL or graft fibres, excessive fibrosis, or even as a result of tissue fragments released from drilling. The end result, regardless of cause, is a rounded fibrous ball sitting in the intercondylar notch. When symptomatic the knee has difficulty fulling extending and is painful when attempts are made. Treatment is arthroscopic excision.

You may want to consider 718.56
 
I've seen both 29877 and 29999 used for this procedure for athroscopic removal of a cyclops lesion. If you use the unlisted code you may want to use 29877 as the comparable if this is being done arthroscopically. Once you decide which code is most appropriate you'd want to use it consistently for auditing purposes.

Any other opionions on this one?
 
Arthroscopic debridement of cyclops lesion

I just coded this today and I used 29877 with 718.56
Hope this helps!
 
I know this thread is old but I had an account where an arthroscopic debridement of a cyclops lesion was performed and I didn't know how to code it. After some research, I found that the AHA Coding Clinic has provided guidance on how to code an arthroscopic debridement of a cyclops lesion. See below:

A cyclops lesion is a hypertrophied granulation of scar tissue that forms in the knee as a result of previous surgery. This type of granulation tissue can lead to adhesions in the knee. To report the arthroscopic debridement of a cyclops lesion, use CPT code 29884, arthroscopy, knee, surgical; with lysis of adhesions.

AHA Coding Clinic for HCPCS 3rd Quarter 2024, pg. 8
 
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