Wiki Knee exam under anesthesia

[Lisa Heikes]

I am not sure what code to use for the following....OP note states...
An examination under anesthesia was performed of the left knee. There was a large hemarthrosis. There was swelling laterally. The knee did open somewhat laterally as well as tend to sublux anteriorly as she had a small avulsion fracture noted on x-ray. There was not gross instability and I could not recreate a knee dislocation. There was laxity laterally and to the posterolateral corner.
DX: Ligamentous injury to the left knee

Thanks for your help

 

[banderson77]

Was that a Scope? If so, I would use 29870 since it sounds like there really was not that much done.

 

[Lisa Heikes]

This was not a scope

 

[jdrueppel]

Your provider states "could not recreate a knee dislocation". Was he/she manipulating the knee - 27570?

Julie, CPC