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Thread: Knee scope with Open meniscal cyst excision

  1. #1

    Default Knee scope with Open meniscal cyst excision

    AAPC: Back to School
    Fellow coders:

    Can I bill for the arthroscopic partial meniscectomy (29881) and the OPEN excsion of the meniscal cyst (27347)?

    Thanks for your help!!


    Diagnosis: Right knee medial meniscal tear with meniscal cyst procedure.

    PROCEDURE: Right knee partial medial meniscectomy, arthroscopic, and
    open excision of meniscal cyst with closure of capsule.

    DESCRIPTION OF PROCEDURE: The patient was brought to the operating
    room, placed supine on the operating room table. After induction of
    general anesthetic, a tourniquet was placed around his right thigh.
    His right leg was prepped and draped in the standard surgical fashion.
    Inferolateral portal was created. Examination of the joint showed
    grade 2 changes along the medial femoral condyle. There was a small
    parrot-beak tear of the posterior horn of the medial meniscus, which
    was debrided with a 3.5 mm full-radius shaver. The notch showed an
    intact ACL. Lateral compartment had normal surfaces and meniscus.
    Patellofemoral joint was normal. No loose bodies in the pouch or
    gutter. Medially there were 2 palpable cyst along the medial joint
    line. An incision was carried out over the medial joint line.
    Dissection was carried out through skin and subcutaneous tissue. The
    medial pes sheath was identified and incised. The cysts were
    identified and after drainage of the thick gelatinous material, a
    small opening was seen entering the capsule. A 2-0 Vicryl was used to
    oversew the opening. The sheath was closed with 0 Vicryl, 2-0 Vicryl
    in subcutaneous tissue, 4-0 Monocryl on the skin. Steri-Strips and
    dry sterile dressing were applied. The patient tolerated the
    procedure well and returned to recovery in stable condition.

  2. #2



    I think there is no documentation in the procedure descreption about the scope was inserted so you can bill for the open procedure alone.
    others correct me if iam wrong.


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