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suture of the medial and lateral retinaculum

  1. Cool suture of the medial and lateral retinaculum
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    I am hoping someone can help me.

    Doctor repaired the patellar tendon ( 27380 ), but then he states the medial and lateral
    retinaculum was torn, and he repaired ( sutured ) the medial and the lateral retinaculum.
    I don't think I can use 27425 because that is a release. I have searched for appropriate codes, but can't find.
    Any suggestions, or have any of you coded for the repair of medial and lateral retinaculum
    before? I really, really need help on this.
    Thank you

  2. #2
    Greater Pittsburgh
    It is part of the extensor mechanism of the knee, 27385 for primary repair or 27386 for secondary reconstruction. The extensor mechanism includes the quadriceps mucle group, quadriceps tendon, patella, patellar retinaculum, patellar ligament or adjacent soft tissues. Refrncd frm Orthopaedic Coder Pink Sheet 1-3-2011. (Margie Scalley Vaught)
    jdemar, CPC, CMA

  3. Default
    yes, have same info

  4. Default
    Thank you so much. I guess my only other question would be do I charge for each.
    The medial and the lateral ? Or are both included in the same procedure?

  5. #5
    Greater Pittsburgh
    I'm really not sure, is it one code because it's one retinaculum, or times two for medial and lateral. I would think once, not sure. Anyone else?
    jdemar, CPC, CMA

  6. Default
    I would once

  7. #7
    Default Retinaculum repair
    Coding Clinic for HCPCS, 4th Quarter 2010, page 7 indicates that code 27380 would be appropriate for retinaculum repair.

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