Results 1 to 2 of 2

open drilling of osteochondritis

  1. #1
    Default open drilling of osteochondritis
    Medical Coding Books
    what would you code for this?


    Osteochondritis desiccans, left talus, superomedial dome.


    Osteochondritis desiccans, left talus, superomedial dome.

    PROCEDURE: Open drilling of osteochondritis.

    ANESTHESIA: General.

    BLOOD LOSS: None.


    DESCRIPTION OF PROCEDURE: The patient was placed on the operating table in the supine position and prepped and draped for surgery on the left foot in the usual manner. Under tourniquet control, and anteromedial incision was made over the ankle joint, and soft tissue divided down to the capsule which was opened. With retraction, the talus was visualized and showed good excursion under the tibial plafond with range of motion. It was squishy and soft in the superomedial area, but the articular cartilage was intact. About 10 small drill holes were made in the area corresponding to the osteochondritis on MRI scan. The drill holes were deep enough to get down to good vascular bone to revascularize the area. The wound was then thoroughly irrigated to relieve debris, and the capsule was closed with 2-0 Vicryl, the subcutaneous tissue with 2-0 Vicryl, and the skin with Monocryl. Marcaine with no epinephrine was injected in the wound for analgesia. A sterile dressing was applied. The patient returned to the recovery room in good condition.

  2. #2
    unlisted and compare to 29892?

    Mary, CPC, COSC

Similar Threads

  1. open knee osteochondritis lesion fixation
    By scooter1 in forum Orthopaedics
    Replies: 1
    Last Post: 10-01-2015, 12:20 PM
  2. osteochondritis dissecans
    By trose45116 in forum Outpatient Facilities
    Replies: 1
    Last Post: 12-27-2011, 03:25 PM
  3. Osteochondritis dissecans knee
    By sbarat in forum Orthopaedics
    Replies: 0
    Last Post: 04-21-2011, 08:56 AM
  4. Replies: 1
    Last Post: 12-18-2009, 08:10 AM
  5. Replies: 2
    Last Post: 03-25-2009, 01:07 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.