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Not A Loose Or Foreign Body?

  1. #1
    Default Not A Loose Or Foreign Body?
    Medical Coding Books
    PROCEDURE:
    ARTHROSCOPIC EXCISION OF A LARGE PERIMENISCAL CYST

    "There was a large perimeniscal cyst filled with ganglion fluid."

    29874 OR 29999???? OR is there something else?

    Your input is greatly appreciated!!!!

  2. #2
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    if the cyst was on the meniscus and excised from the meniscus (including meniscal tissue) , depending on your documentation, you may be able to use 29881

  3. #3
    Default
    That makes sense, if the cyst was as you state was on the meniscus. But this is how the report states.

    I removed the entire anterior horn and body if the lateral meniscus as well as 50% of the posterior horn of the lateral meniscus. The remnant meniscus is quite stable.

    After the meniscectomy was complete, I then used a shaver to get into the perimeniscal cyst. Then arthroscopically this was excised and a large amount of ganglionis fluid was removed and debridement.

    Since the meniscectomy was completed and debridement is inclusive what else is there?

  4. #4
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    looks like you have just the menisectomy

  5. #5
    Default
    Thanks,

    Not exactly was we wanted to hear. Were looking to maybe pull a rabbit out the hat.

  6. #6
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    I know..sorry..unfortunately thats the reality of knee scopes...it stinks I know

  7. #7
    Location
    Milwaukee WI
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    4,466
    Default Modifier 22?
    This is NOT my area of expertise, but ...

    It does sound as if more than just the menisectomy was performed ... could you append a 22 modifier and include op report?

    Just a thought ...

    F Tessa Bartels, CPC

  8. #8
    Default
    Thanks Tessa that's what we have done.

    I've had access to this system for a while and have never really used it for this type of "think tank" I LIKE!!!!

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