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case study

Preoperative and postoperative diagnosis: Left knee arthrosis
Procedure: Arthroscopy and debridement
The patient was prepped and brought into the operating room, where general anesthesia was administered. The knee was prepped, and a video arthroscopy was performed using the anterolateral and anteromedial portals. The scope confirmed the diagnosis. In the medial compartment, the degenerative meniscus was debrided with a shaver. The large osteophytes were removed with a bur. After removal, it was noted that there was improved extension. In the lateral compartment, a small anterior horn of the tear was debrided and shaved back to the meniscal tissue. The portals were sutured with nylon sutures. Sterile dressings were applied. The patient was in stable condition and was sent to the recovery room.
CPT code(s): .....X .....ONE CODE ONLY IS USED 29881 IT WRONG

Preoperative and postoperative diagnosis: Painful left index finger due to previous crush injury
Procedure: Amputation of left index finger
The patient was placed under general anesthesia, and a 1% Lidocaine and 0.5% Marcaine with epinephrine was administered to perform a digital block for the left index finger. A tourniquet was inflated on the left arm. An incision was made over the mid aspect of the proximal phalanx of the left index finger with dissection of the subcutaneous tissue. The digital nerves were cut, and then sharp dissection was taken down to the bone, dividing the flexor and extensor tendons. A bone cutter was used to divide the bone, and the finger was removed. The vessels and nerves were ligated, and the bone was smoothed off with a rongeur. The skin was closed with 5-0 nylon sutures and a dressing applied. The tourniquet was deflated. There was minimal blood loss, and the patient was taken to the recovery room in satisfactory condition.
CPT code(s): ...........X....... I USED 20613 NOT CORRECT

Preoperative diagnosis: Mass on right middle finger, middle phalanx
Pathology: Benign tumor from middle phalanx
Operation: Excision of benign tumor of middle phalanx of finger
The patient was prepped, and a digital block was achieved using 2.5 cc of 0.25% Marcaine and 1% Xylocaine. The finger was exsanguinated, and a tourniquet was placed. An incision was made over the mass and carried through the subcutaneous tissue. The mass was removed via curettes to scrape the mass from the bone. The specimen was labeled and sent to pathology. Irrigation of the wound occurred, and the skin was closed in layers. A sterile dressing was applied, and the patient was taken to the recovery area in stable condition.
CPT code(s): ....X........ I USED 26291 ITS WRONG

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1. Cpt code for the Procedure: Arthroscopy and debridement of the left knee

29880-LT - Arthroscopy, knee, surgical; with meniscectomy (media AND lateral, including any meniscal shaving.

2. Cpt code for the Procedure: Amputation of left index finger

26951- Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure

3. Cpt code for the procedure Excision of benign tumor of middle phalanx of finger

26210- Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger

answered by: anonymous