Wiki Arthroscopic excision of olecranon bursitis code help

[dsibley67]

Good morning my fellow coders! I need some help. My physician done a arthroscopic excision of olecranon bursitis and I am trying to figure out if this is a limited or extensive debridement. I am leaning toward a limited, just wanted another opinion. Any help will be greatly appreciated.
The patient was seen preoperatively, site was marked and
verified. She was placed in the lateral position. All bony prominences were well padded. Time-out was
taken at the beginning of the procedure. The arm was exsanguinated. The tourniquet was inflated. A
small stab incision was made over the triceps region and then a second incision was made along the
proximal ulna. We then inserted trocar proximally. I then inserted the arthroscopic camera. A shaver
was inserted distally. We then began to shave the olecranon bursitis. We shaved down to expose the
proximal ulna. She did have some fraying on the triceps tendon which was cleaned up as well. At this
point, we then turned to shaver and debrided the bursitis, intimately attached with a skin. Once we fully
cleaned it out, the wounds were irrigated. The wound was decompressed. A nylon was used for closure.
Sterile dressings were applied and then tolerated the procedure well.

 

[amyjph]

Agree. If you use the same concept as the shoulder, there are only two structures here.

 

[NRaizman]

Good morning my fellow coders! I need some help. My physician done a arthroscopic excision of olecranon bursitis and I am trying to figure out if this is a limited or extensive debridement. I am leaning toward a limited, just wanted another opinion. Any help will be greatly appreciated.
The patient was seen preoperatively, site was marked and
verified. She was placed in the lateral position. All bony prominences were well padded. Time-out was
taken at the beginning of the procedure. The arm was exsanguinated. The tourniquet was inflated. A
small stab incision was made over the triceps region and then a second incision was made along the
proximal ulna. We then inserted trocar proximally. I then inserted the arthroscopic camera. A shaver
was inserted distally. We then began to shave the olecranon bursitis. We shaved down to expose the
proximal ulna. She did have some fraying on the triceps tendon which was cleaned up as well. At this
point, we then turned to shaver and debrided the bursitis, intimately attached with a skin. Once we fully
cleaned it out, the wounds were irrigated. The wound was decompressed. A nylon was used for closure.
Sterile dressings were applied and then tolerated the procedure well.

This is an endoscopy, not an arthroscopy.
The joint was never scoped.
I think it is still okay to code as an elbow scope with limited debridement (olecranon bursitis, triceps tendon).

 

[genesis.biology1512@gmail.com]

I think you should go with limited debridement (Olecranon bursitis) as per my understanding, fellow coder please have a look and guide !