Results 1 to 6 of 6

Help with Op Report-Knee Coders.

  1. Default Help with Op Report-Knee Coders.
    Medical Coding Books
    OPERATION(S):

    1. RIGHT KNEE ARTHROSCOPY, PARTIAL LATERAL MENISECTOMY (EXCISION OF RADIAL AND ANTERIOR HORN HOIZONTAL CLEAVAGE COMPONENT).

    2. PERIPHERAL REPAIR OF COMMUNICATION OF LATERAL MENISCUS TEAR TO CYST.

    3. INTRA-ARTICULAR EVACUATION OF LATERAL MENISCUS CYST.

    Op Report Reads:

    "The patellofemoral joint, medial compartment, medial meniscus, anterior and posterior cruciate ligaments were normal. The lateral meniscus pathology was identified. WE RESECTED THE ANTERIOR HORN OF THE LATERAL MENISCUS with side-biting basket punches from an anteromedial portal with visualization from an accessory medial peripateallar portal. The remaining mid body and POSTERIOR HORN WAS CAREFULLY SAUCERIZED AND TRIMMED to a well-contoured rim with instrumentation from the anterolateral portal. All loose fragments were removed from the joint.

    THE ARTHROSCOPIC SHAVER WAS PLACED THROUGH THE DEGENERATIVE TEAR AND HOLE IN THE MID BODY OF THE LATERAL MENISCUS AND OUT INTO THE MENISCUS CYST. THE TISSUE WAS SCRAPED AND SHAVED. WE WERE ABLE TO EVACUATE THE CONTENTS OF THIS CYST WITH EXTERNAL DIGITAL PRESSURE INTO THE KNEE JOINT, AND THIS YELLOWISH, GELATINOUS MATERIAL WAS EVACUATED WITH A SHAVER."

    Do I use 29882 (717.1, 717.2)
    OR
    29882 (717.2), 29881-50 (717.1)

    I don't know what the evacuation would fall under.

    Any help would be appreciated.

  2. Default
    use 29882 (717.1 717.2)

  3. Default
    Nothing for the cyst?

  4. #4
    Default
    I believe this would be a Lateral Meniscectomy 29881 only. It doesn't seem the physician performed a repair when reading the body of the operative report. Hope this helps.

  5. Default
    Good point. I keep looking at that as well and have the doctor further explain.

    Saucerized and trimmed--does not mean 'repair'-Correct?

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    correct, only the 29881, since the cyst was in the lateral compartment, which is the same compartment as the meniscectomy, unfortunately there is nothing else to capture.

    Mary, CPC,COSC

Similar Threads

  1. Knee coders please help!
    By kandekane8 in forum Orthopaedics
    Replies: 2
    Last Post: 01-20-2015, 04:21 PM
  2. Replies: 1
    Last Post: 10-15-2013, 08:43 PM
  3. operative report/path report
    By codedog in forum Outpatient Facilities
    Replies: 4
    Last Post: 04-09-2010, 08:47 AM
  4. HELP Knee Coders!
    By smcbroom in forum Outpatient Facilities
    Replies: 2
    Last Post: 03-23-2010, 02:48 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?

Login

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.