Results 1 to 2 of 2

patella repair

  1. Cool patella repair
    Medical Coding Books
    I really need help on this......
    Patient had a knee replacement years ago. He fell.
    The surgeon repaired a ruptured patella tendon ( 27380). States there were multiple bony fragments from the superior and inferior patella. These were removed. The fx was opened & the patella component was completely loose. He removed the polyethylene patella component. Freshened up the edges and then ran fiberwire distally and proximally; 2 sutures were run distally and 2 sutures proximally across the repair site. It was repaired in full extension. There were small remanants of bone in the superior patellar and they were left in place. The medial and lateral retinacular tears were repaired with 0 vicryl figure-of-eight sutures. Subcutaneous tissues were closed, etc.
    He was stating he thinks I should code 27524 for ORIF of patellar fx. I also think he should
    code for the repair of patellar tendon. Please, please need some input. I am only one here, so I have one to consult with.
    Thank you

  2. #2
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by mousehouse1 View Post
    I really need help on this......
    Patient had a knee replacement years ago. He fell.
    The surgeon repaired a ruptured patella tendon ( 27380). States there were multiple bony fragments from the superior and inferior patella. These were removed. The fx was opened & the patella component was completely loose. He removed the polyethylene patella component. Freshened up the edges and then ran fiberwire distally and proximally; 2 sutures were run distally and 2 sutures proximally across the repair site. It was repaired in full extension. There were small remanants of bone in the superior patellar and they were left in place. The medial and lateral retinacular tears were repaired with 0 vicryl figure-of-eight sutures. Subcutaneous tissues were closed, etc.
    He was stating he thinks I should code 27524 for ORIF of patellar fx. I also think he should
    code for the repair of patellar tendon. Please, please need some input. I am only one here, so I have one to consult with.
    Thank you
    did he replace the poly liner? Yes if the tendon repair was done OUTSIDE of the ORIF you could capture. 27380 bundles as per NCCI but AAOS CodeX does not bundle. I guess NCCI assumes you would need to repair patellar tendon as part of ORIF. So again I would say if you could show in your notes that tendon repair was a separate issue I would bill it out.

Similar Threads

  1. Is patella tendon repair included in hemipatellectomy?
    By juanchow in forum Orthopaedics
    Replies: 1
    Last Post: 06-18-2014, 04:21 PM
  2. patella nonunion repair
    By samyjm13 in forum Orthopaedics
    Replies: 0
    Last Post: 11-04-2013, 10:18 AM
  3. patella tendon repair with allograft
    By Jamie Dezenzo in forum Outpatient Facilities
    Replies: 0
    Last Post: 05-08-2013, 02:24 PM
  4. Open cartilage repair patella
    By ortho1991 in forum Orthopaedics
    Replies: 0
    Last Post: 05-18-2011, 12:28 PM
  5. Excision of distal pole of patella w/ repair
    By laurabee in forum Orthopaedics
    Replies: 1
    Last Post: 07-02-2009, 11:17 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.