tci ED Coding & Reimbursement Alert - 2000 Issue 4

Reader Question: Dislocation of the Patella

Question: A patient comes to the ED with a dislocation of the patella. He is given Dilaudid and Valium IV, and the dislocation is then reduced. Would the CPT code for reduction be with anesthesia or without anesthesia?Clearfield HospitalClearfield, PAAnswer: When the patella dislocates, it typically moves to the lateral side of the knee and off of the femoral condyles, says Cindy McMahan, CPC. Often, the physician is able to extend the knee, causing the patella to move back into its normal position without administering anesthesia. This is reported with 27560 (closed treatment of patellar dislocation; without anesthesia)...

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