scooter1
Expert
I am hoping someone has experience with this. I have not had this before. Doctor is stating 24101. However, that is removal foreign body. He didn't remove anything. I am thinking 24498, but I just don't know. Diagnosis is Osteochondritis dissecans of the capitellum.
This is an open procedure. The report reads . . .
The capitellum was visualized. There was a large cartilaginous fragment that was detached posteriorly with a very small amount of bone beneath. A flap was raised. There was good bleeding bone beneath it. The cartilage was swollen. The wound was irrigated with sterile solution. The fragment was held into postiion and two 16mm SmartNails were placed across the fragment to the underlying capitellum. At the periphery of the lesion, additional 4-0 PDS sutures were placed to further secure the edge of the lesion. Wound was irrigated, capsule was closed with 3-0 PDS suture.
This is an open procedure. The report reads . . .
The capitellum was visualized. There was a large cartilaginous fragment that was detached posteriorly with a very small amount of bone beneath. A flap was raised. There was good bleeding bone beneath it. The cartilage was swollen. The wound was irrigated with sterile solution. The fragment was held into postiion and two 16mm SmartNails were placed across the fragment to the underlying capitellum. At the periphery of the lesion, additional 4-0 PDS sutures were placed to further secure the edge of the lesion. Wound was irrigated, capsule was closed with 3-0 PDS suture.