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Thread: Ankle arthroscopic procedure using thermal wand

  1. #1
    Join Date
    Apr 2007
    Columbus, Ohio

    Question Ankle arthroscopic procedure using thermal wand

    AAPC: Back to School
    Good morning coders, I need your help with this ankle surgery. How would you code the thermal tightening with capsular shrinking, anterior talofibular ligament? Do I use the unlisted 29999 and compare in price to 27695? Also, how is the chrondroplasty coded? Is it bundled with the synovectomy? Thanks in advace for you help, Paula

    The scope was placed in the anteromedial portal. There was
    some synovitis throughout the ankle. There was also a small cartilage
    lesion on the anterior tibia. An anterolateral portal was created using
    an outside-in technique. The skin was incised with a scalpel. Blunt
    dissection was taken into the joint. A shaver was placed in the joint.
    A synovectomy was completed. A chondroplasty was completed on the
    distal tibia and the cartilage injury was removed. The anterior
    talofibular ligament was inspected. This was probed. This was staple
    and thought to be lax. A thermal shrink wand by ArthroCare was placed
    in the anterolateral portal and the anterior talofibular ligament was
    tightened with a thermal wand. The capsule around this was also
    tightened as well. Once this was completed the rest of the debris was
    irrigated out with a shaver. The instruments were all withdrawn.

  2. #2
    Join Date
    Apr 2007


    I would use the unlisted code for the thermal shrinkage and yes chondroplasty is bundled with the synovectomy

  3. #3
    Join Date
    Apr 2007
    Columbus, Ohio


    Thanks so much for your help..I appreciate having this forum to get feedback from other coders..Paula

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