AAPC - Back to school
Results 1 to 3 of 3

Thread: trephination of medial meniscus

  1. #1
    Join Date
    Apr 2007

    Default trephination of medial meniscus

    AAPC: Back to School
    would this be coded as unlisted code 29999???? any suggestions

    The patient was seen in the holding area. He confirmed the right knee to be the operative extremity. He was then taken to the OR where following induction of general anesthesia, a tourniquet was placed on the right thigh. The right leg was prepped and draped in sterile fashion. The leg was exsanguinated with an Esmarch bandage. The tourniquet was inflated to 300 mmHg.

    An anterior portal was established. The scope was placed into the joint, and the articular cartilage surfaces appeared normal throughout the joint. The ACL was normal. The lateral meniscus was normal. There was synovitis present in the anterior and medial aspect of the knee, and a two-compartment synovectomy was carried out using a synovial shaver. With the arthroscope in the medial compartment, the medial meniscus was probed. It was noted to be quite soft, but was stable. No surface tears were appreciated, either superiorly or inferiorly. No loose fragments were noted. The meniscus appeared stable, so I did not think that using a meniscal arrow or suture such as a FasT-Fix or an inside-out repair would be of great benefit. I thought that the most benefit would come from doing a meniscal trephination, so I performed this by introducing a spinal needle and using an outside-in technique and visualizing the spinal needle going through the meniscus in the areas of concern. This was done several times, approximately 8 to 10 following which the meniscus was again probed, and it was not noted to be unstable.

    The scope was removed from the joint. Marcaine was placed intra-articularly. The incisions were closed with Monocryl. Sterile dressings were applied, and the patient was awakened and taken to the recovery room in stable condition. Sponge and needle counts were correct at the conclusion of the procedure. Blood loss was minimal.

  2. #2
    Join Date
    Apr 2007


    unlisted it is

  3. #3
    Join Date
    Apr 2007


    Thanks thats what I thought.

Similar Threads

  1. Tear Medial Meniscus
    By Robbin109 in forum Orthopaedics
    Replies: 2
    Last Post: 07-23-2014, 09:08 AM
  2. Trephination of Meniscus
    By joanne71178 in forum Orthopaedics
    Replies: 3
    Last Post: 05-31-2013, 09:50 AM
  3. Meniscus trephination
    By adjose in forum Orthopaedics
    Replies: 0
    Last Post: 08-14-2012, 03:36 PM
  4. Medial Meniscus
    By scooter1 in forum Orthopaedics
    Replies: 2
    Last Post: 02-08-2011, 03:00 PM
  5. Trephination of medial meniscus
    By Mary Baierl in forum Orthopaedics
    Replies: 3
    Last Post: 08-31-2009, 12:15 PM

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.