fltbaroque
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- Messages
- 131
- Location
- Longview, TX
Please help! I'm leaning towards an unlisted code, but would appreciate input. There was no allograft or autograft, just fixation of osteochondral lesion.
The note reads:
Postop Dx: Right knee medial femoral condyle osteochondral lesion, displaced
Operation performed: Right knee arthroscopy and ORIF of osteochondral lesion
Procedure: “Arthroscopy was performed through standard portals………arthroscopic instruments were removed and a mini medial parapatellar arthrotomy was made. The osteochondral lesion was then directly visualized. The bony surface of it was prepared with hand held rasp. The fragment was then reduced. It was pinned into place with K-wires and then secured with 3.0 mm cannulated partially-threaded screws that were countersunk just below the articular surface. Fluoroscopy confirmed appropriate position of the screws. Layered closure was performed”.
Thanks in advance for your help!
Tobi C
The note reads:
Postop Dx: Right knee medial femoral condyle osteochondral lesion, displaced
Operation performed: Right knee arthroscopy and ORIF of osteochondral lesion
Procedure: “Arthroscopy was performed through standard portals………arthroscopic instruments were removed and a mini medial parapatellar arthrotomy was made. The osteochondral lesion was then directly visualized. The bony surface of it was prepared with hand held rasp. The fragment was then reduced. It was pinned into place with K-wires and then secured with 3.0 mm cannulated partially-threaded screws that were countersunk just below the articular surface. Fluoroscopy confirmed appropriate position of the screws. Layered closure was performed”.
Thanks in advance for your help!
Tobi C