Wiki Patella resurfacing with tibial liner revision-27486?

[ahodge90]

I have a case where my doc is replacing a tibial liner and did a patella resurfacing procedure with a patella button on a previously place TKA.
My provider thinks that this will be 27487. I am thinking this may be 27486 or 27438. I am leaning more towards 27486 only because he removed ad replaced the liner along with the patella resurfacing.
Anyone have any advice???

 

[nickelclaw]

27486
can you attach op note for clarification?
27438 would be if mentions hemi-arthroplasty and places a prosthesis (hemi-arthroplasty) on the back ide of the patella in this code
don't have my encoder up not sure if can bill together
if you send more info I can look at tommorrow

 

[ahodge90]

I am having a difficult time with getting this op note to upload. Not sure why.. sorry. I will keep trying though.

Thank you for your response!!
I was also leaning towards the 27486 mainly because he did revise the liner along with the patella resurfacing and I was not sure if 27438 would capture everything that he did on this case. I will say that my coding system is showing these codes to be bundled.