Please help. I am looking for an open procedure code. He started with arthroscopy, but removed the scope and went open.
Incision was made anteromedially and carried down thru the subcutaneous tissues. Down from the capsule, and the lesion involving the medial femoral condyle was easily identified. The lesion was thoroughly probed and demarcated. It was hinged open leaving the lateral aspect of the cartilage intact. An extensive amount of time was spent debriding the lesion & the bony bed back to normal bleeding bone. Fibrous-type tissue was thoroughly removed. Once completed, the area was irrigated. all debris removed. the unstable lesion was reduced. It was then internally fixed with two Biomet SmartNails, placed at different angles and excellent fixation was obtained.
I was thinking 27355 and 27358 ? Please I need suggestions.
Thank you
Incision was made anteromedially and carried down thru the subcutaneous tissues. Down from the capsule, and the lesion involving the medial femoral condyle was easily identified. The lesion was thoroughly probed and demarcated. It was hinged open leaving the lateral aspect of the cartilage intact. An extensive amount of time was spent debriding the lesion & the bony bed back to normal bleeding bone. Fibrous-type tissue was thoroughly removed. Once completed, the area was irrigated. all debris removed. the unstable lesion was reduced. It was then internally fixed with two Biomet SmartNails, placed at different angles and excellent fixation was obtained.
I was thinking 27355 and 27358 ? Please I need suggestions.
Thank you
open knee osteochondritis lesion fixation
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