In the first stage he did open removal of hardware. The he went arthroscopic and did a lateral meniscectomy, a notchplasty,
and then used a curette, shavers and reamers to clean out the previous femoral tunnel. He then "widened" the anteromedial portal and packed bone graft into the femoral tunnel defect. It was filled in its entirety. The defect on the tibial side was not large enough to need to be bone grafted.
copiously irrigated and evacuated, all instruments were withdrawn.
I am thinking 20680 for the open removal of the hardware.
and 29881 for the arthroscopic lateral meniscectomy.
Other than that, I am at a loss on the rest of the procedure. Dr is stating 27356 for the cleaning out of the tunnel and bone grafting, but doesn’t sound right to me. I really need suggestions here. I actually have three of these surgeries that have come across my desk. I have heard some people say if scope use 29867 for grafting the tunnels, or open use 27415. What do you think ?
PLEASE HELP ?
and then used a curette, shavers and reamers to clean out the previous femoral tunnel. He then "widened" the anteromedial portal and packed bone graft into the femoral tunnel defect. It was filled in its entirety. The defect on the tibial side was not large enough to need to be bone grafted.
copiously irrigated and evacuated, all instruments were withdrawn.
I am thinking 20680 for the open removal of the hardware.
and 29881 for the arthroscopic lateral meniscectomy.
Other than that, I am at a loss on the rest of the procedure. Dr is stating 27356 for the cleaning out of the tunnel and bone grafting, but doesn’t sound right to me. I really need suggestions here. I actually have three of these surgeries that have come across my desk. I have heard some people say if scope use 29867 for grafting the tunnels, or open use 27415. What do you think ?
PLEASE HELP ?