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extensive knee debridement w hematoma removal

  1. #1
    Columbus, Ohio
    Default extensive knee debridement w hematoma removal
    Medical Coding Books
    The surgeon did arthroscopy of knee with extensive debridement and evacuation of hematoma. With extensive debridement, which arthroscopic code should I use? Can I use 29877, 29874 or 29871? Or am I looking at this wrong? Thanks, Paula

  2. #2
    paula, can you post the note, or send it to me via my e-mail and I'll take a look for you.

  3. #3
    Columbus, Ohio
    Default op note for knee debridement
    The patient was seen in the preop holding by department of orthopedics
    and anesthesia, at which time we identified the right lower extremity
    for the appropriate extremity for the procedure. I placed my initials
    on the extremity for identification. He was given IV antibiotics
    preoperatively for prophylaxis. He was taken back to the OR suite and
    placed supine on a well-padded OR table. He was placed under anesthesia
    without complication. The well-padded tourniquet was placed on the
    right upper thigh. The extremity was sterilely prepped and draped in
    the normal fashion. The leg was exsanguinated, and the tourniquet was
    inflated to 350 mmHg. The sutures from the inferomedial and
    inferolateral portals were removed. The trocar and cannulas placed in
    the inferomedial and inferolateral portal. The suprapatellar pouch was
    entered. The cannula was used to irrigate out the wound, the knee
    initially, as well as the blood. Once this was completed, the scope was
    placed in the cannula and a large shaver was placed in the inferomedial
    portal, and the joint was extensively debrided. There was a significant
    amount of clotted blood. The ACL graft was probed and felt to be
    intact. This was very stable. The remainder of the knee was irrigated
    out and extensively debrided. The hematoma was evacuated. After 9
    liters normal saline was run through the knee, a drain was placed
    through a small incision superior laterally in the knee. The
    instruments were all withdrawn and portals were closed with suture. The
    drain was hooked up to suction. Local anesthetic was injected. Sterile
    dressing was applied, as well as cold therapy pack. The patient's knee
    was placed in a hinged knee range of motion brace. The tourniquet was
    released. The patient was then awakened from anesthesia without
    complication and transferred to the Post Anesthesia Care Unit in stable

  4. #4
    Traverse City Michigan
    Did you ever find an answer on this one? I have a very similar case and am not sure how to code it...
    Chrissy Durga, COSC

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