AAPC - Back to school
Results 1 to 4 of 4

Thread: extensive knee debridement w hematoma removal

  1. #1
    Join Date
    Apr 2007
    Columbus, Ohio

    Default extensive knee debridement w hematoma removal

    AAPC: Back to School
    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
    Join Date
    Apr 2007


    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
    Join Date
    Apr 2007
    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    instruments were all withdrawn and portals were closed with suture.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
    Join Date
    Apr 2007
    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

Similar Threads

  1. Extensive Debridement of B/K stump
    By dpumford in forum General Surgery
    Replies: 2
    Last Post: 03-27-2009, 09:08 AM
  2. Microfracture shoulder with extensive debridement
    By peporter in forum Orthopaedics
    Replies: 1
    Last Post: 03-18-2009, 08:10 AM
  3. Microfracture with extensive debridement of shoulder
    By peporter in forum Orthopaedics
    Replies: 3
    Last Post: 03-10-2009, 01:30 PM
  4. extensive debridement
    By BFAITHFUL in forum Orthopaedics
    Replies: 0
    Last Post: 03-03-2009, 08:41 PM
  5. Extensive wound debridement
    By emeskina in forum Plastic Surgery
    Replies: 3
    Last Post: 06-30-2008, 12:37 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.