icd 9 code for mpfl reconstruction

Full Answer

What is the MCL repair code for MPFL reconstruction?

The MCL repair codes to 27405, the chondroplasty to 29877. I can only find codes for MPFL reconstruction - but my procider did not reconstruct the ligament - he only repaired it. How do I code a repair? Thanks. Look @ 27557.

What is the MPFL reconstruction protocol for patellar instability?

MPFL reconstruction protocol At the Patellofemoral Center at HSS, patients with patellar instability undergo a thorough assessment that includes a physical examination and review of the patient's medical history.

What is involved in MPFL reconstruction?

Patients undergoing MPFL reconstruction receive regional anesthesia—an spinal block that numbs the lower half of the body—and sedation. During the procedure, the orthopedic surgeon replaces the injured ligament with a tendon, taken from the patient’s hamstring or donor tissue, and creates a new ligament.

Is MPFL reconstruction safe for children?

Today, MPFL reconstruction is a safe option for children and teenagers. In rare cases, people with patellar instability may be candidates for a surgical repair of their MPFL, rather than a complete MPFL reconstruction, such as when the MPFL has pulled a small piece of bone off the inside part of the kneecap.

What is the ICD 9 code for patellofemoral syndrome?

Short description: Int derangement knee NEC. ICD-9-CM 717.89 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 717.89 should only be used for claims with a date of service on or before September 30, 2015.

Where is the medial patellofemoral ligament?

The medial patellofemoral ligament is a part of the complex network of soft tissues that stabilize the knee. The MPFL attaches the inside part of the patella (kneecap) to the long bone of the thigh, also called the femur.

What is the CPT code for MPFL reconstruction?

We use CPT 27428 for MPFL reconstruction.... MPFL is an extra-articular Ligament (medial)...even though there is work performed inside the knee. 27427 is what we use.

Is MPFL the same as MCL?

The are additional ligaments in the knee including the MCL (medial collateral ligament), the MPFL (medial patellofemoral ligament), the PCL (posterior cruciate ligament), and the LCL (lateral cruciate ligament).

What is the MPFL?

What is the medial patellofemoral ligament (MPFL)? The medial patellofemoral ligament is a part of the complex network of soft tissues that stabilize the knee. The MPFL attaches the inside part of the patella (kneecap) to the long bone of the thigh, also called the femur. Together, the patella and femur compose the patellofemoral joint.

How long does MPFL surgery take?

The entire surgery takes about an hour, and patients return home the same day, with their knee stabilized in a brace. MPFL reconstruction produces excellent results and has a very low rate of complication. Rare complications can, however, include fractures, infections or blood clots.

What is MRI in HSS?

A magnetic resonance imaging ( MRI) is also performed to help the doctor understand the condition of the cartilage in the patellofemoral joint and helps determine whether the patient is a candidate for MPFL or a bony procedure, such as tibial tubercle transfer. Often, these images can be obtained on the same day as an initial visit.

How does MPFL work?

The MPFL plays a particularly important role in keeping the patella on track (that is, in this groove) by acting like a leash that restrains the patella's movement. When patellar dislocation occurs, soft tissues are damaged as the patella “jumps” the track and then comes forcibly back into place.

Why is my MPFL subluxated?

Injury to the MPFL can occur when the patella dislocates or becomes subluxated (partially dislocated) due to a trauma experienced during athletics or an accident, as a result of naturally loose ligaments – most frequently seen in girls and women – or due to individual variations in bony anatomy.

What is lateral release?

Lateral release, in which the ligament on the outside part of the patellofemoral joint is loosened. Although a lateral release alone is not an effective surgical option for patellar instability, this procedure may be done in conjunction with an MPFL reconstruction to address other problems in the joint and to restore balance in the knee.

What type of surgery is performed at the Patellofemoral Center?

Such prior surgeries may include: Arthroscopic, minimally invasive surgery in which torn tissue in the patellofemoral joint is “cleaned up”.

A. CPT Codes for Physical Therapy

97110 – Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.

B. CPT Code for Manipulation under Anesthesia of Knee

27570 – Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)

C. CPT Code for Arthroscopic Arthrolysis of Knee

29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)

D. CPT Codes for Open Lysis of Adhesions of Knee

There is no specific code for open lysis of adhesions of knee. The related codes are,

E. CPT Codes for Revision Arthroplasty of Knee

27486 – Revision of total knee arthroplasty, with or without allograft; one component