Results 1 to 4 of 4

Cartilage repair

  1. #1
    Default Cartilage repair
    Medical Coding Books
    My physician did a repair on a nose because of auto accident and is using CPT 13152, but he wants to know if there is any other code he could use for cartilage repair? He did not do a graft. He did the repair due to cartilage destruction?

    Thank You,

  2. #2
    Default
    Can you provide the operative note?
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

  3. #3
    Post Cartilage repair op note
    Operative report received (sorry for the delay) - Here it goes: Repair was undertaken by initially closing the intranasal laceration on the right side. This laceration involved the mucocutaneious junction along the superior aspect of the nasal septum. This was closed with 6-0 simple interrupted sutures. This was carried forward until the cartilaginous margin of the right lower lateral cartilage was reached .I approximatd the dome of the right lower lateral cartilage, and secured this with a horizontal mattress 6-0 prolene suture.There seemed to be some lateralization of the interdome region of the lower lateral cartilages. I therefore placed a 6-0 Prolene horizontal mattress interdomal suture in order to provide better stability of the nasal tip. I then used 6-0 Vicryl simple interrupted sutures to reapproximate the junction between the upper lateral cartilages in the midline, which had been avulsed.

    I then used 5-0 Vicryl to reapproximate the deep portion of the nasal tip and nasal dorsum laceration. I used simple interrupted 6-0 Vicryl for the subcutaenous layer. As noted above, the columella had been complete avulsed. The upper segment wa macerated with a complex stellate the margin of the upper stellate laceration. I then used 6-0 Prolene simple sutures to reapproximate the columella. I then proceeded to close the vertical laceration involving the nasal tip extending up to the rhinion using simple 6-0 Prolene sutures.

  4. #4
    Default
    Based on the documentation, 13152 is correct, assuming that the total laceration size is between 2.6cm to 7.5cm in length.

    Also, I would look at code 30400 for the nasal tip repair. I hope this helps.
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

Similar Threads

  1. Open cartilage repair patella
    By ortho1991 in forum Orthopaedics
    Replies: 0
    Last Post: 05-18-2011, 12:28 PM
  2. Arthroscopic debridement of cartilage
    By AMBarber in forum Orthopaedics
    Replies: 2
    Last Post: 03-09-2011, 08:14 AM
  3. tympanomastoidectomy and cartilage graft
    By daknaack in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 02-10-2011, 09:59 AM
  4. loose articular cartilage?
    By BFAITHFUL in forum Orthopaedics
    Replies: 3
    Last Post: 10-07-2009, 08:12 AM
  5. Cartilage graft ?
    By codedog in forum Plastic Surgery
    Replies: 1
    Last Post: 09-29-2009, 12:46 PM

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.