AAPC - Back to school
Results 1 to 3 of 3

Thread: Open Medial plication

  1. #1
    Join Date
    Apr 2007

    Default Open Medial plication

    AAPC: Back to School
    I've bounced all over the book and spent way to much time on it so here it is.....Its the "open" medial plication that has me.

    PREOPERATIVE DIAGNOSIS: Patellar instability with torn medial retinaculum, right knee.

    POSTOPERATIVE DIAGNOSIS: Patellar instability with torn medial retinaculum, right knee.

    3. Open medial plication .

    ........... This allowed much better approximation of the patella within the trochlear groove, but it did not want to stay in the same region.

    The midline skin incision was then utilized for visualization of the distal medial quadriceps insertion as well as the medial retinaculum and imbrication type sutures were then carried out to soft tissue balance of the knee and get the patella to be into its normal position. Then, #2 FiberWire was used for maintaining the tissue in its reapproximated position. Once the medial plication was completed, the knee was placed through full range of motion. There was no undue tension on our repair and the patella was tracking in a normal anatomic fashion without any successful lateral patellar tilt or lateral malalignment. At the completion of the procedure, deep irrigation fluid was aspirated from the knee. The deep wound was copiously irrigated using antibiotic irrigation. The deep dermis was then closed using 2-0 Vicryl. The superficial subcutaneous tissues were closed using first the 3-0 undyed Vicryl and then a running 4-0 Monocryl suture. At the completion of the procedure, the patient was transferred to the recovery room with distal sensory and motor examinations intact.


  2. #2


    I'm attempting to code a very similar operation. I have notes from an ortho coding seminar that indicates that there is no code for medial reefing/plication. I think we're looking at an unlisted code here.

  3. #3


    Hey... How did either of you fair with these surgeries? Here's my best guess: 27422... Please let me know if you have used another code successfully. Thanks!!

Similar Threads

  1. Open OCD repair medial femoral w/o Graft
    By bmeech in forum Orthopaedics
    Replies: 2
    Last Post: 07-28-2014, 06:21 PM
  2. Replies: 0
    Last Post: 11-19-2013, 01:41 PM
  3. Arthroscopic Medial Plication
    By Desperate Denise in forum Orthopaedics
    Replies: 1
    Last Post: 10-10-2012, 06:07 AM
  4. Medial plication of the talonavicular joint
    By CHEQUITA in forum Orthopaedics
    Replies: 0
    Last Post: 01-19-2010, 01:22 PM
  5. Replies: 3
    Last Post: 08-14-2009, 04:11 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?


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.