proc: Lt knee arthroscopy w/ posteromedial and lateral menisectomies and separate anterior patellar bony mass excision
The inferomedial and infraportals were established through which the knee was examined and noted to have medicla and lateral meniscal tears. This was smoothed down to stablize edges using the meniscal shaver. The samll plica was removed anteriorly and a small area of chondromalacia under the kneecap was also debrided. Attention was then turned to the anterior patella througha 2cm incision. A large suprapatellar mass was removed , which appeared to be a large gouty tophus.
I coded 29881, question would I code the mass as 27619,, Im kinda thrown off by the DX patellar bony mass excision. Help would be apppreciated
Paula
The inferomedial and infraportals were established through which the knee was examined and noted to have medicla and lateral meniscal tears. This was smoothed down to stablize edges using the meniscal shaver. The samll plica was removed anteriorly and a small area of chondromalacia under the kneecap was also debrided. Attention was then turned to the anterior patella througha 2cm incision. A large suprapatellar mass was removed , which appeared to be a large gouty tophus.
I coded 29881, question would I code the mass as 27619,, Im kinda thrown off by the DX patellar bony mass excision. Help would be apppreciated
Paula