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Lengthening of Fascia Lata

  1. #1
    Columbus Ohio
    Default Lengthening of Fascia Lata
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    The physician performed an excision of left trochanteric burse with lengthening of fascia lata.

    I am not sure how to code lengthening of fascia lata. I have one provider wanting to use 27006 and another using 27299. I am not sure either of those are correct.

    This is what the op report states:
    The fascia lata was cleared off, noting that it was moderately thickened over the area of the bursa and hyperemic. A long V cut was made with the Y part of the V based proximally and the central portion then folded up, noting thickening of the fascia lata in this area. This exposed a large, edematous, very vascular trochanteric bursa, which was then completely excised. Once this was completed and hemostasis obtained, the incision was irrigated with Betadine solution and then the V cut was closed in a Y-type fashion, lengthening the fascia lata, with ) Vicryl suture.

    What do you think the best code is for this procedure? Thanks for your help, this has been driving me crazy.

  2. Default
    look at 27062.
    look at codes 14000-14300 for that because it says something about V-Y plasty. Not sure if that is it but maybe.
    Last edited by Bella Cullen; 09-30-2009 at 02:58 PM.

  3. #3
    Columbus Ohio
    Thanks I will take a look at those.

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