Not A Loose Or Foreign Body?

[VIOLYNPLA2]

PROCEDURE:
ARTHROSCOPIC EXCISION OF A LARGE PERIMENISCAL CYST

"There was a large perimeniscal cyst filled with ganglion fluid."

29874 OR 29999???? OR is there something else?

Your input is greatly appreciated!!!!

 

[mbort]

if the cyst was on the meniscus and excised from the meniscus (including meniscal tissue) , depending on your documentation, you may be able to use 29881

 

[VIOLYNPLA2]

That makes sense, if the cyst was as you state was on the meniscus. But this is how the report states.

I removed the entire anterior horn and body if the lateral meniscus as well as 50% of the posterior horn of the lateral meniscus. The remnant meniscus is quite stable.

After the meniscectomy was complete, I then used a shaver to get into the perimeniscal cyst. Then arthroscopically this was excised and a large amount of ganglionis fluid was removed and debridement.

Since the meniscectomy was completed and debridement is inclusive what else is there?

 

[mbort]

looks like you have just the menisectomy

 

[VIOLYNPLA2]

Thanks,

Not exactly was we wanted to hear. Were looking to maybe pull a rabbit out the hat.

 

[mbort]

I know..sorry..unfortunately thats the reality of knee scopes...it stinks I know

 

[FTessaBartels]

Modifier 22?

This is NOT my area of expertise, but ...

It does sound as if more than just the menisectomy was performed ... could you append a 22 modifier and include op report?

Just a thought ...

F Tessa Bartels, CPC

 

[VIOLYNPLA2]

Thanks Tessa that's what we have done.

I've had access to this system for a while and have never really used it for this type of "think tank" I LIKE!!!!