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Thread: Cyclops Lesion.

  1. #1

    Default Cyclops Lesion.

    Other than 759.89, what code would you use for a cyclops lesion?

    "There was a large, soft tissue mass attached to the ACL graft consisent with a diagnosis of a cylcops lesion."

  2. #2
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    Quote Originally Posted by nikkisgranny View Post
    Other than 759.89, what code would you use for a cyclops lesion?

    "There was a large, soft tissue mass attached to the ACL graft consisent with a diagnosis of a cylcops lesion."
    is the cyclops lesion documented as being "congential"? I dont think I would use 759.89 unless it is.

    717.9 would be my first choice (without supporting documentation)

  3. #3

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    Thanks. That is the DX I was leaning towards as well.

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    What code would you use for the debridement of this lesion? (Arthroscopically)

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    Quote Originally Posted by martn View Post
    What code would you use for the debridement of this lesion? (Arthroscopically)
    I BELIEVE IT'S 29999 UNLISTED CODE..

  6. #6

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    Here is the dfinition of a cyclops lesion:

    A cyclops lesion, its name deriving from its resemblance to an eyeball at arthroscopy, is a complication of ACL repairs. It is also known as localized anterior arthrofibrosis, and its exact aetiology is uncertain, and may be related to gradual fraying and bunching up of ACL or graft fibres, excessive fibrosis, or even as a result of tissue fragments released from drilling. The end result, regardless of cause, is a rounded fibrous ball sitting in the intercondylar notch. When symptomatic the knee has difficulty fulling extending and is painful when attempts are made. Treatment is arthroscopic excision.

    You may want to consider 718.56

  7. #7
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    Thanks! I was leaning towards unlisted too, and for Dx I like 717.89 better.

  8. #8

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    I also am using 718.56 for they cyclops lesion.

  9. #9

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    I actually have one of these today - what to use for the CPT? Unlisted, compared to what? 27347?

  10. #10

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    2017 ICD-10-CM Coding Book
    I've seen both 29877 and 29999 used for this procedure for athroscopic removal of a cyclops lesion. If you use the unlisted code you may want to use 29877 as the comparable if this is being done arthroscopically. Once you decide which code is most appropriate you'd want to use it consistently for auditing purposes.

    Any other opionions on this one?

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