AAPC - Back to school
Results 1 to 6 of 6

Thread: Open Patellar Tendon Repair/Debridement

  1. #1

    Default Open Patellar Tendon Repair/Debridement

    AAPC: Back to School
    Need help finding an appropriate code.

    27380 DX 727.66?

    Any other suggestions.

    I am unsure of how to code the debridement.

  2. #2
    Join Date
    Apr 2007


    please post the op note (actually have one on my desk to do as well, so might as well knock em both out).


  3. #3


    I can do that when I get it.

  4. #4


    The left leg was then scoped from superolateral and inferolateral portals. The ligamentum mucosum was debrided. This allowed complete exposure of the intercondlar notch, which was normal.

    The arthroscope was then removed. An upper thigh tourniquet was inflated to 275 mm and this was then up for a total of 15 minutes. An incision was made over the midline at the patellar tendon junciton. This was then incised deeper through the depth of the upper patellar tendon. The necrotic tendon was debrided shraply. This was the posterior half of the tendon. This encompassed approximately the middle third width-wise. This was taken sharply off of bone and elliptically excised distally. The distal patellar tendon bony segment was now gently trimmed and decorticated with rongeurs. The wound was irrigated. The patellar tendon was closed side-to-side with No. 1 Vicryl.
    Last edited by nikkisgranny; 11-25-2008 at 12:25 PM.

  5. #5

    Default Patellar tendon debridement and platelet aggregate injection

    Patient has chronic patellar tendonitis. The physician did an arthroscopic evaluation and then an open debriedment and platelet aggregate injection The main paragraph of the op note follows. How would you code for this debriedment?

    The tibial tubercle was incised. The peritenon over the tendon was fiarly inflamed. This was split, peeled off the tendon and the central portion of the patellar tendon was ellipsed out. We curetted the base well to establish some bleeding bone and were able to keep the rest of the dendon intact. We exposed the lateral border of the tibial tubercle and debrided the bone through that area and irrigated thoroughly.

  6. #6

    Default Open Patellar Tendon Debridement

    Would this be unlisted? Has anyone gotten this paid as unlisted?


    Kim, CPC

Similar Threads

  1. open patellar tendon repair
    By brenda d lewis in forum Orthopaedics
    Replies: 2
    Last Post: 03-11-2015, 05:59 AM
  2. Patellar tendon debridement
    By sgarcia1401@comcast.net in forum Orthopaedics
    Replies: 5
    Last Post: 10-20-2014, 12:29 PM
  3. Open patellar tendon and tibial tubercle debridement
    By EllieAnn in forum Orthopaedics
    Replies: 1
    Last Post: 01-09-2014, 11:32 AM
  4. Replies: 0
    Last Post: 12-03-2009, 09:09 AM
  5. patellar tendon debridement
    By lisaestelle in forum Orthopaedics
    Replies: 0
    Last Post: 10-22-2009, 11:35 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.