The patella and tibial spacer were revised. Is this 27487 or 27486? I was wandering if 27487 mod 52.
thank you,
thank you,
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Tag Archives: patella
Failed ORIF patella fx
Hello,
Can anyone help me, The patient just had ORIF of the patella 1 week ago, but a few days ago she was up in the middle of the night and fell so now they are going back in for surgery.
It is within the 90 day Global Period so I am not sure how to code this one. The fx is now displaced.
Do I code the Non Displaced Fx or would this be considered a complication?
M96.89 – Other post procedural complication
Then code the FX
G89.18 – Other acute post procedural pain
Would I Code the 99014 with modifier 78 -Unplanned return to operating room.
I am at a loss.
Thank you,
LLR
Patella Knee Support – A New Medical Grade Knee Brace Can Help!
Does your kneecap ever bother you?
Hey, let’s face it, sometimes your kneecap (patella) can dislocate or just kind of have a raw, painful feeling. – Some options you can try at home are ice, rest, and a knee brace. Let’s talk a bit more on these subjects to help you get a good idea of what your options are…
1.) Rest & Ice
Sure, these remedies have helped people in the past and they help you too if you have some pain issues or swelling problems. The problem is that these remedies only go so far…
Rest that Knee! : Rest is great, when you are in the moment, but how many of us can really avoid moving around all the time. – Life just asks to much of us…
Ice : Ice definitely has its place. Its been around almost forever as a method of calming flare ups, and helping to control swelling issues you might have. We have all seen our sports heros use ice on their knees when they sit on the bench after a tough game. – However, the problem is that you can not run around with ice bags hooked up to your knees, so you will more than likely benefit from another idea besides just rest and ice…
2.) A Patella Knee Support
With all of the new innovations today, you can find a patella knee support that does not have to be really bulky, nor does it have to be all the big on your leg either.
A Dislocating Patella
Sometimes people have this problem because their patella (kneecap) just does not “track” correctly. See there is a groove in your femur where your patella is supposed to glide over, called the femoral groove. If the “tracking” of your patella is not adequate, you can dislocate your kneecap! Not only is that painful physically, but it must be painful mentally when you see your patella drifting toward the outside of your leg!
Certain knee braces can help control this kind of outward movement quite well!
A Painful Kneecap
There are a host of other reasons why your patella can bother you. Maybe you banged it, maybe you have another diagnosis that will explain where the pain is coming from…. Either way, a simple knee sleeve can be all it takes to help control the patella so it does not give you soo much pain! Knee sleeves are not for everyone, but they are known for helping to provide some extra support and that might be all you need. – Speak with your brace provider with any questions about braces, and make sure to clear medical advice with your physician prior to using it. This article is great medical information about knee braces, but you must not neglect seeing your doctor regularly.
The Knee Brace Shop
Patella Tilt
What do you use for ICD-10 code? *M22.2X1*? Just want to make sure. Thank you. Anna, CPC-A
Medical Billing and Coding Forum
ORIF osteochondral patella fragment??
Can anyone help with how they would code this? I almost want to just code it as an ORIF patella (27524) but not sure if that’s the right way to go. Op note below..
Post-operative Diagnosis:
Left knee Knee osteochondral fracture of the patella
Procedure Performed:
Open reduction internal fixation of left knee osteochondral patellar fragment, microfracture of
patella, removal of loose bodies from knee, repair of medial retinaculum.
The patient was identified and brought to the operating room. After general anesthesia the
knee was examined under anesthesia was no significant ligamentous instability. Midline
incision was made and the skin was mobilized to view the joint capsule. Initially there was no
obvious tear in the medial retinaculum. A median parapatellar approach was utilized to
expose the patella and during this it was noted that there was a tear in the medial retinaculum
that we utilized to open the joint. The joint was then exposed and the patella was inverted.
The large osteochondral fragment was identified in the lateral gutter and removed. There
was a smaller osteochondral fragment that had very little bone on it that was also found in the
intercondylar notch. The rest of the joint was visualized after a thorough irrigation and there
was no further fragments were visualized. First the patella was examined and it was noted
that the majority of the cartilage that had sheared off came off of the inferior half of the patella
and was primarily on the medial side. This area was then curetted to remove any hematoma
and the large fragment was then placed in the position and fit excellently. This was secured
with 2, 2.5 mm screws that were countersunk down to the subchondral bone. A 1.5 mm
screw was also placed to further secure the fragment. Excellent fixation was obtained. On
the medial side of the patella there was bare spot where the smaller fragment came from.
This piece was not repairable therefore a 1 mm drill was utilized to perform a microfracture in
the area. At this point the wound was irrigated copiously.
Need CPT for removal of large spur off the inferior pole of the patella
Doc made incision and cut down to the patella. The spur was about 1.5 X 2cm. Right now I’m leaning towards 27350-52 since the spur was so large, but maybe someone has done this before? What do you think?