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percutaneous tenotomy

  1. Default percutaneous tenotomy
    Medical Coding Books
    does anyone know the cpt code for a percutaneous knee tenotomy, I can only find one for elbow (24357) but not for the knee, should I use the unlisted code 20999?

    Thank you

  2. #2
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    Default
    Quote Originally Posted by BFAITHFUL View Post
    does anyone know the cpt code for a percutaneous knee tenotomy, I can only find one for elbow (24357) but not for the knee, should I use the unlisted code 20999?

    Thank you
    can you post the note?

  3. Default
    A 20cc of patient's blood was drawn and prepared by way of the harvest to centrifuge/decanter system with resultant 5 cc of platelet rich plasma graft. The patient was then placed in the supine position with the left knee flexed at 90 degree position. The left knee wasthen steriley prepared. The medial patellofemoral complex was identified under ultrasound imaging. An 18 gauge needle and syringe with 2cc of lidocaine 1% was ultrasound guided with needle visualization and bolus conformation. Percutaneous needle tenotomy was performed under ultrasound visualization by way of multiple fenestrations to the medial patellofemoral complex. The lidocaine syringe was then exchanged with resultant 5 cc of platelet rich plasma and administered to the medial patellofemoral complex including within the body of the medial meniscus. patient was then bandaged and moved to recovery.



    I don't think there is a code for percuteneous tenotomy of knee
    im thinking maybe 20999, 86999 & 76942-TC

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Quote Originally Posted by BFAITHFUL View Post
    A 20cc of patient's blood was drawn and prepared by way of the harvest to centrifuge/decanter system with resultant 5 cc of platelet rich plasma graft. The patient was then placed in the supine position with the left knee flexed at 90 degree position. The left knee wasthen steriley prepared. The medial patellofemoral complex was identified under ultrasound imaging. An 18 gauge needle and syringe with 2cc of lidocaine 1% was ultrasound guided with needle visualization and bolus conformation. Percutaneous needle tenotomy was performed under ultrasound visualization by way of multiple fenestrations to the medial patellofemoral complex. The lidocaine syringe was then exchanged with resultant 5 cc of platelet rich plasma and administered to the medial patellofemoral complex including within the body of the medial meniscus. patient was then bandaged and moved to recovery.



    I don't think there is a code for percuteneous tenotomy of knee
    im thinking maybe 20999, 86999 & 76942-TC
    27599 is the more appropriate unlisted code

  5. Default
    Thanks a million!!!!!

  6. Default emerson
    I Was Happy To See Others Are Doing This Tentotomy. I Have Nothing To Add, My Physicians Are Just Starting This. Your Question And The Answer Helped Me
    Are These Codes Paying Anything As Yet

    Thanks For The Input

  7. Default
    Yes we have been getting paid but u must have great medical necessity documentation

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