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Thread: Hlep with Arthrotomy CPT

  1. #1

    Default Hlep with Arthrotomy CPT

    AAPC: Back to School
    Does anyone have any suggestions on what code to use for this surgery? My doctor put down 27334(Arthrotomy, with synovectomy) however I dont beleive that is correct - I just cant find one that is. Any advice would be appriciated. Thank you

    Patellofemoral clunk syndrome, hypertrophic scar tissue, right
    knee arthroplasty.

    Right knee limited arthrotomy, excision of hypertrophic scar
    tissue undersurface of the patella, quad tendon, and lateral

    A limited arthrotomy was made, centered
    around the patella. It was perhaps 2 fingerbreadths above and
    below along the line of her previous incision. Dissection was
    carried down to the capsule which was entered through a medial
    parapatellar type approach. The patient had what was likely some
    evidence of patellar clunk syndrome with hypertrophic "crab meat"
    scar tissue on the superior pole of the patella just cephalad to
    the patellar component. This seemed to catch in the notch of the
    femoral component as the knee was brought through an arc of
    motion. We used cautery to debride the scar tissue as well as
    some scar tissue along the lateral gutter. As the knee was then
    brought through an arc of motion, there was no impingement of any
    tissues in the notch area of the femur. The patellar, femoral,
    and tibial components were all well fixed. The knee was
    otherwise stable throughout its arc of motion. The knee was then
    irrigated copiously.

  2. #2


    Hi there,

    I am not sure why you feel that this is not an accurate code? I believe that it is correct, but maybe I am missing something....

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