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Thread: Any Opinions please, pretty stumped!

  1. #1

    Red face Any Opinions please, pretty stumped!

    AAPC: Back to School

    1. RT knee arthroscopy partial medial and lateral meniscectomies. 29880
    2. Trephination of posterior horn medial meniscal tear w/ parameniscal cyst debridement. ???
    3. Ganglion cyst excision ???
    4. patellar chondroplasty G0289
    5. medial femoral condyle chondroplasty. Not billable.

    Not sure of what codes, if any, to use for #2,3.

    For that part of the procedure it reads: An 18-gauge spinal needle was then used to perform a trephination procedure of the posterior horn near the root to decompress the parameniscal cyst noted on MRI. At that point, the chondrotome was switched to the notch and limited synovectomy performed for visualization. a bleb over the top of the ACL near the roof was then opened an allowed to decompress into the joint. An 18 gauge needle was then used to trephinate the ACL taking care not to go too far posteriorly. The substance of the ACL was not violated an the fibers remained inntact. This was all that was done since the cyst did permeate the substance of the ligament.

    Any suggestions???

  2. #2


    Do you have the op report. Where was the cyst removed from? #2 is inclusive to #1

  3. #3


    Quote Originally Posted by KNP40806 View Post
    Do you have the op report. Where was the cyst removed from? #2 is inclusive to #1
    Says on the Anterior Cruciat ligament (ACL) is where the ganglion cyst was located.

  4. #4
    Join Date
    Apr 2007
    Charm City - Baltimore


    If a needle was used to drain the cyst - would 10160 be appropriate for that? Also, I was going to suggest 27347 (ganglion, meniscus or capsule), but it's along the ACL? I am stumped too!
    Crystal, CPC, CCS-P

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