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MPFL Reconstruction CPT. 27422. 27427. MPFL Reconstruction Anatomy. see MPFL anatomy. Patellar stability is dependent on: bony constraint of the femoral trochlea; MPFL, medial retinaculum, and the vastus medialis. Any of these may be disrupted or dysplastic in patients with patellar instability.
Mar 11, 2021 · I have always used 27427 as it's an extra-articular ligament reconstruction. 27422 involves the tendons and/or muscles. Descriptions: 27427. In this procedure, the provider reconstructs the extra–articular ligaments of the knee joint.
Jun 20, 2005 · You may be familiar with coding ligament reconstructions for the ACL or rotator cuff, but what happens when the surgeon reconstructs the patellofemoral ligament with a semitendinosus graft? We'll show you how to select an accurate code in three easy steps.
MPFL is an extra-articular Ligament (medial)...even though there is work performed inside the knee. 27427 is what we use. You can use 27422 and capture the Graft Harvest as well. Intra-articular is really for ACL and PCL reconstruction.
Nov 17, 2022 · MPFL reconstruction often is recommended for patients with acute or recurrent instability after not responding to nonoperative management. The typical workup includes a radiograph and magnetic resonance imaging to evaluate both the bony and soft-tissue anatomy.
What is the code assignment for an open MPFL repair, CPT code 27405, 27566 or an unlisted code? ... To read the full article, sign in and subscribe to the AHA Coding Clinic ® for HCPCS. The AHA Coding Clinic for HCPCS includes: The official publication for Level I HCPCS (CPT-4 codes) for hospital providers.
Nov 14, 2023 · PMID: 28985094. (Return to top.) MPFL reconstruction is a surgery in which a new medial patellofemoral ligament is created to stabilize the knee and protect the joint. Learn more.
ligament (MPFL) reconstruction surgical procedure. Please refer to the Ohio States Sports Medicine website for rehabilitation guidelines specific to other procedures and conditions, as appropriate. Progression is criterion-based and dependent on soft tissue healing, patient demographics, and clinical evaluation.
Jun 11, 2021 · Current Procedural Terminology (CPT) codes (27427, 27424, 27422, and 27420) were used to identify patients undergoing an MPFL reconstruction, combined with the International Classification of Diseases, Ninth Revision, codes 717.89 718.36, 718.86, and 836.3 for a diagnosis related to patellar dislocation and instability.
MPFL reconstruction uses tissue from a cadaver to make a new ligament, since your own ligament has been damaged as a result of previous kneecap dislocations. MPFL reconstruction involves recreating this ligament with a new piece of tissue.
