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microfracture elbow cpt code needed

  1. #1
    Location
    Columbus, Ohio
    Posts
    105
    Default microfracture elbow cpt code needed
    Medical Coding Books
    I need help coding a microfracture of articular cartilage lesion of the capitellum. Should I use an unlisted code for this?

  2. #2
    Location
    ENGLEWOOD/DENVER
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    Default
    really need to see a scrubbed version of the op note to assist you with this.

    thanks
    mary

  3. #3
    Location
    Columbus, Ohio
    Posts
    105
    Default
    The op note reads in part:

    I irrigated out the elbow with copious amounts of normal saline. The joint was inspected, there was an articular cartilage lesion of the capitellum measuring 5 x 7 mm, this was a full-thickness lesion. Decision was made to do a microfracture on this lesion. A 2mm drill bit was used to place holes in the lesion starting peripherally and working centrally. The holes were capped 5 mm apart, this was to stimulate some healing of firbrocartilage into this defect.

    Primary procedure is radial head replacement.

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Still not really enough information, sounds like this was a radial head fracture with prosthetic replacement and that he is drilling to promote healing of the bone adjacent to the implant, which would be incidental and included in the prosthetic replacement. If I am off base..then you would need to use an unlisted procedure code.

  5. #5
    Location
    Columbus, Ohio
    Posts
    105
    Default
    Thank you for your help. I previously coded anesthesia and am learning orthropedics and this is the first time using this forum. Thanks again, Paula

  6. Cool
    looking for mircofracture of capitellum elbow for Osteochondrosis dessicans cpt

  7. Cool ocd elbow
    looking for mircofracture of capitellum elbow for Osteochondrosis dessicans cpt

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