What is a plica excision of the knee?

What is a plica excision of the knee?

What is plica resection? Plica resection is an arthroscopic knee surgery that involves removing abnormal synovial tissue. Plica are natural folds in the knee joint synovium that can often times become painful and inflamed.

What is a plica surgery?

When your kneecap glides back and forth, it can pinch the plica, causing pain. This minimally invasive procedure is performed by your surgeon using a small incision and the insertion of a scope and a specialized surgical instrument to remove the damaged synovial tissue and plica.

What is the CPT code 29880?

CPT® Code 29880 – Endoscopy/Arthroscopy Procedures on the Musculoskeletal System – Codify by AAPC.

Where is the medial plica located?

Four plica synovial folds are found in the knee, but only one seems to cause trouble. This structure is called the medial plica. The medial plica attaches to the lower end of the patella (kneecap) and runs sideways to attach to the lower end of the thighbone at the side of the knee joint closest to the other knee.

What is synovial plica of the knee?

A synovial plica is a shelf-like membrane between the synovium of the patella and the tibiofemoral joint. Plicae essentially consist of mesenchymal tissue which is formed in the knee during the embryological phase of development.

What is Infrapatellar plica?

The infrapatellar plica, or ligamentum mu- cosum, is a vestigial remnant of the embry- onic tissue and is typically not thought to be a source of clinical symptoms. The infrapatel- lar plica has a narrow femoral attachment in the intercondylar notch of the femur.

What is a medial plica?

The medial plica of the knee is a thin, well-vascularized intraarticular fold of the joint lining, or synovial tissue, over the medial aspect of the knee (Fig. 1). It is present in everyone, but is more prominent in some people.

What is a synovial plica?

What is the difference between 29880 and 29881?

By definition, 29880 reports meniscectomy in both the medial and lateral compartments, while 29881 defines a meniscectomy in either the medial or lateral compartment.

What is the difference between CPT code 29881 and 29882?

Modifier 59 is appended to CPT code 29881 to indicate a distinct separate procedure in a different anatomic location (lateral repair vs medial meniscectomy). Although CPT code 29882 does not bundle the chondroplasty, CPT code 29881 precludes the reporting of the chondroplasty in the patellofemoral compartment.

What is medial plica?

What is the difference between a meniscal lesion and a knee plica?

Meniscus pathology: Meniscus pathology will have tenderness at the joint line, whereas plica pain tends to localize above the joint line. Also, physical exam tests such as Apley, Thessaly, bounce home, and/or McMurray can help distinguish the 2 entities.

What is lateral synovial plica?

The lateral patellar plica is the least common plica of the knee; indeed, its very existence is controversial. It is longitudinal, very thin, and located 1–2 cm lateral to the patella. It originates in the lateral wall above the popliteus hiatus and attaches to the infrapatellar fat pad (,Figs 12, ,,,13) (,6,,7).

What is Type C medial patellar plica?

The Type C medial patellar plica covers part of the articular surface of the femoral trochlea and is more frequently associated with symptoms. The Type D lesion is fenestrated and more likely to be symptomatic, but is relatively rare. 9.

What is included in CPT 29888?

CPT Code: 29888 Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after anterior cruciate ligament injury.

What is included in CPT 27427?

The Current Procedural Terminology (CPT®) code 27427 as maintained by American Medical Association, is a medical procedural code under the range – Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint.

What is the difference between CPT code 27422 and 27427?

I have always used 27427 as it’s an extra-articular ligament reconstruction. 27422 involves the tendons and/or muscles. In this procedure, the provider reconstructs the extra–articular ligaments of the knee joint. He may also use a graft to reinforce the repair of the ligament.