scooter1
Expert
Patient had previous total knee arthroplasty. Surgeon removed the patella
component, and repaired the patellar tendon. Should I code 27488 and 27380? Modifiers? The report reads:
A midline incision was made, etc. The patella component immediately popped out of the knee. It was completely loose. I went forward & did an exploration & debridement of scar tissue & released the medial /lateral gutters & released the quadriceps area . I debrided and removed all the scar tissue. There is a small rim of bone left in the patella. We could not resurface the patella, so we decided to leave it alone. There was good tissue in the inferior part of the patella tendon so I went ahead & went for it & debrided it. I ran a #2 Force Fiber suture through it in a running interlocking-type suture technique, and Then I ran 3 drill holes longitudinally in the patella remnant & repaired it in full extension. There was excellent stability to the repair. Then he did the closing. Please advise ?
component, and repaired the patellar tendon. Should I code 27488 and 27380? Modifiers? The report reads:
A midline incision was made, etc. The patella component immediately popped out of the knee. It was completely loose. I went forward & did an exploration & debridement of scar tissue & released the medial /lateral gutters & released the quadriceps area . I debrided and removed all the scar tissue. There is a small rim of bone left in the patella. We could not resurface the patella, so we decided to leave it alone. There was good tissue in the inferior part of the patella tendon so I went ahead & went for it & debrided it. I ran a #2 Force Fiber suture through it in a running interlocking-type suture technique, and Then I ran 3 drill holes longitudinally in the patella remnant & repaired it in full extension. There was excellent stability to the repair. Then he did the closing. Please advise ?