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Thread: Resurfacing Post TKA

  1. #1

    Default Resurfacing Post TKA

    AAPC: Back to School

    Im leaning towards CPT 27486, but not really sure and would really like some other opinions. Brief report below. Thanks so much for your help in advance!

    Patellofemoral pain, right knee arthroplasty.

    1. Conversion of an unresurfaced patella to a patellar
    resurfacing for a right knee arthroplasty.
    2. Synovectomy.

    A midline skin incision was made in line with the patient's previous skin
    incision. Medial parapatellar arthrotomy was then performed. We
    elevated off the medial tibia around the deep MCL, also elevated
    anterolaterally. We debrided scar from the undersurface of the
    patellar and quad tendons to facilitate exposure. The medial and
    lateral gutters were stuck down, and these were recreated by
    excising synovium and scar from the gutters as well as the
    suprapatellar pouch to provide exposure. The patient had an
    unresurfaced patella component. The femoral and tibial
    components were well fixed. The poly had no discernible wear.
    The patella was somewhat scarred in laterally. We had to
    perform a lateral release to free it up. We were then able to
    cut the undersurface of the patella. It was prepared for a
    standard plus LCS all-poly patellar component. The knee was
    irrigated copiously. We then cemented on a standard plus
    patellar component

  2. #2


    27486 Is for a single componet revision, that's what I'd go with...
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

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