chondroplasty cpt code

The format for reporting this code combination depends on the payers rules. Mystery and realities of phalloplasty: A systematic review. Chondroplasty of the knee is a minimally invasive surgical procedure used to repair damaged knee cartilage. Hardware removal at TKA Example 2The surgeon performs a right lateral meniscal repair and tricompartmental chondroplasty and reports the following codes: 29882Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral), 29877-59Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty). , What is the CPT code for arthroscopic labral repair? Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. The CPT Assistant (April 2003) gave the following instructions regarding HCPCS code G0289: This add-on code should be reported in addition to the knee arthroscopy code for the major procedure being performed. For help in coding these and other procedures, refer to the AAOS Global Service Data contained in Code-X, or some other coding product that can assist with understanding the bundling and unbundling of procedures. Setbacks in forehead feminization cranioplasty: A systematic review of complications and patient-reported outcomes. J Voice. 2021 E/M Guidelines and Consultation Codes, Reporting 75630 with Extremity Angiograms, Do not report 0707T in conjunction with 29805, 29860, 29870, 77002, For aspiration and injection of bone cysts, use 20615. In general, carrier policies follow either CPT rules or CMS rules. However, chondroplasty is not included when it is performed in a different compartment than a meniscal repair (29882 and 29883). JAMA Pediatr. Version 7. The authors concluded that facial feminization surgery appeared to be safe and satisfactory for patients. Know these modifiers: 51 and 59 The definition of CPT code 29879 includes a chondroplasty as noted: "Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture." Physicians should be sure to provide a description of the clinical necessity of the abrasion arthroplasty in their operative report. Is clitoral release another term for metoidioplasty? Yes, through the remainder of 2021 you will continue to report an unlisted CPT code. The rationale for this change appears in the American Medical Association (AMA) publication, CPT Changes 2012An Insiders View, and reads as follows: As part of the AMA RUC Relativity Assessment Workgroup (RAW) (formerly Five-Year Review Identification Workgroup) analysis of codes, the RUC concurred that codes 29880 and 29881 for reporting knee arthroscopy with meniscectomy are typically performed with 29877 for reporting arthroscopy of the knee requiring a chondroplasty (debridement/shaving of articular cartilage). The chondroplasty is inclusive and not separately reportable even though the procedure is performed in two separate compartments. , What is the CPT code for chondroplasty? Plast Reconstr Surg. Code correctly and appeal inappropriate denials. However, the nipple reconstruction as defined by CPT code 19350 describes a much more involved procedure than areola reduction. Removal of damaged tissue allows healthy cartilage to be able to grow in its place. Arthroscopy is a surgical procedure to diagnose and treat your joint's structural problems, which often cause pain, instability or other dysfunction. A marked incongruence between ones experienced/expressed gender and primary and/or secondary sex characteristics (or, in young adolescents, the anticipated secondary sex characteristics), A strong desire to be rid of ones primary and/or secondary sex characteristics because of a marked incongruence with ones experienced/expressed gender (or, in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics), A strong desire for the primary and/or secondary sex characteristics of the other gender, A strong desire to be of the other gender (or some alternative gender different from ones assigned gender), A strong desire to be treated as the other gender (or some alternative gender different from ones assigned gender). 2018;45(3):369-380. True Blue. , Which procedure is a surgical repair of cartilage? Remember, a chondroplasty is not reportable with a meniscectomy performed during the same session and on the same kneethis coding concept also applies to the HCPCS code G0289. Data on demographics, clinical response to treatment, and psychosocial status were collected on all transgender persons receiving gender-affirming hormone therapy since 1991 at the endocrinology clinic at Albany Medical Center, a tertiary care referral center serving upstate New York. Gender affirming surgery: A comprehensive, systematic review of all peer-reviewed literature and methods of assessing patient-centered outcomes (Part 1: Breast/chest, face, and voice). , Is chondroplasty included in synovectomy? Next month look for Part II Arthroscopy of the Shoulder and Hip. Psychiatr Clin North Am. A total meniscectomy refers to surgical removal of the entire meniscus. The operative note details must support all procedures stated as performed in the procedure title. 1995-2023 by the American Academy of Orthopaedic Surgeons. } *This response is based on the best information available as of 12/02/21. Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People. The following examples show the coding application according to Medicare payment rules for Medicare and private payers who follow Medicare payment rules. color: red 2016;1.1:32-40. Patients were followed-up from 30 months to 8 years (mean of 36 4) after surgery. In a systematic review, Gorbea et al (2021) provided a portrait of gender affirmation surgery (GAS) insurance coverage across the U.S., with attention to procedures of the head and neck. Debridement, Synovectomy, and Chondroplasty During debridement, loose and redundant tissue is removed, including inflamed synovium (synovectomy) and loose cartilage flaps (chondroplasty). Nakatsuka M. [Adolescents with gender identity disorder: Reconsideration of the age limits for endocrine treatment and surgery]. Both code 29877 and 29874 have a 0 modifier, indicating these procedures are inclusive to CPT code 29881 and may not be overridden with a modifier. These researchers stated that although established procedures used for hand rejuvenation may be employed in gender affirming care, further study is needed to determine relative salience of various hand features to gender dysphoria in transgender patients of various identities, as well as development of novel techniques to meet these needs. 2017;31(2):244.e1-244.e5. Treatments for gender dysphoria. J Minim Invasive Gynecol. Applicable CPT codes and relative value units (RVUs) for a given hip preservation procedure. J Sex Med. There are two basic forms of synovectomy. Gender affirming surgery: A comprehensive, systematic review of all peer-reviewed literature and methods of assessing patient-centered outcomes (Part 2: Genital reconstruction). The dysphoria present in many transgender persons is associated with significant mood disorders that interfere with successful careers. The most commonly used modifiers for arthroscopy are 51 (multiple procedures) and 59 (distinct procedural service). If loose bodies or fragments remain after the procedure, they are removed. The main aim of a . These investigators described the factors influencing patient choice or surgeon recommendation of vulvoplasty (creation of the external appearance of female genitalia without creation of a neovaginal canal) and evaluated the patient's satisfaction with this choice. Do not use modifier 59 to report a chondroplasty in any compartment when performed with a medial and/or lateral meniscectomy in the same knee. Append modifier 59 when appropriate to let the payor know that the subsequent procedure is a distinct and separate procedure. 2011;13:165-232. These researchers examined the reports on urological complications and outcomes in transgender men with respect to various types of urethral reconstruction. If a diagnostic arthroscopy leads to a surgical arthroscopy at the same patient encounter, only the surgical arthroscopy may be reported. 2019;26(1):135-142. To ensure correct coding until then, AAOS Now will present the essentials for coding the most common arthroscopy codes via a two-part series. Although CPT code 29882 does not bundle the chondroplasty, CPT code 29881 precludes the reporting of the chondroplasty in the patellofemoral compartment. Aesthetic Plast Surg. The purpose is to maximize breast growth in order to obtain better surgical (aesthetic) results. Cartilage, or chondral, damage is known as a lesion and can range from a soft spot on the cartilage (Grade I lesion) or a small tear in the top layer to an extensive tear that extends all the way to the bone (Grade IV or "full-thickness" lesion). As shown in Code X (Fig.1), code 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body [eg, osteochondritis dissecans fragmentation, chondral fragmentation]) may be reported in addition to other arthroscopic knee procedures, including arthroscopic chondroplasty and arthroscopic microfracture, if either of the following requirements are met: If arthroscopic removal of loose/foreign bodies was the only procedure performed, the size or separate incision guidelines do not apply. The descriptions read as follows: 29880Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving), including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed, 29881Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed. Chondroplasty refers to the smoothing of degenerative cartilage and trimming of unstable cartilage flaps to stabilize and treat chondral lesions. Because Medicare does not include HCPCS code G0289 in the list of codes that may be reported in addition to CPT code 29881, some confusion may result. Another area of high usage is a limited synovectomy (CPT code 29875). Arch Sex Behav. , What is the CPT code for arthroscopic medial meniscectomy? Chondroplasty procedures (CPT code 29877) are coded once per knee, per case, regardless of the number of . Chondroplasty and Microfracture are two such techniques that are used to help smooth out damaged, irregular shaped cartilage in order to provide a smoother gliding surface for the joint. Sarkaya S, Ralph DJ. All ights eserved. CPT code 29877 may never be reported when a medial and/or lateral meniscectomy is performed in the same knee, same operative session. In line-item coding, this code should be reported twice to show a chondroplasty in both the medial and patellofemoral compartments. Treatment shouldfocus onpsychological adjustment, with hormone therapy and gender affirming surgery being viewed as confirmatory procedures dependent on adequate psychological adjustment. Discourses and empirical data were analyzed for factors and practices that impact on voice function and for indications of voice function-related problems in trans-masculine people. The meniscus acts as a shock absorber and helps to keep the knee stable. Code 19350 is a CCI incidental to edit to code 19318, and, accordingly, the services of code 19350 are included in code 19318. Data on techniques, outcomes, complications, and patient satisfaction were collected. Aesthetic Plast Surg. #closethis { Patel H, Arruarana V, Yao L, et al. A full-thickness skin graft is taken from the right groin to reconstruct the areola. If all of the procedures were performed in the same compartment on the same knee, CPT codes 29877 and 29874 are both components of 29875 and should not be reported together according to CCI Edits. Other tear of medial meniscus, current injury, right knee, initial encounter. Resection to a greater degree was considered to be a total meniscectomy, and other resections were defined as partial meniscectomies. font-size: 18px; The surgeon had to remove the hardware to complete the TKA. Oxford, UK: NHS; updated September 2009. This website and its contents may not be reproduced in whole or in part without written permission. Gender-affirming genital surgery consults were reviewed from March 2015 until December 2017, and patients scheduled for or who had completed vulvoplasty were interviewed by telephone. 1. , What is arthroscopic abrasion chondroplasty? OL LI { 01/06/2023 Smith YL, Cohen L, Cohen-Kettenis PT. } .fixedHeaderWrap { From 656 possibly relevant articles, 42 met the inclusion criteria for the current literature search. They included 8 studies using cricothyroid approximation, 6 studies using anterior glottal web formation, and 6 studies using other surgery types or a combination of surgical techniques, leading to 20 studies in total. So, the ultimate change for 2012 is not with the chondroplasty CPT code but with the meniscectomy CPT codes. The diameter of the vaginal opening was 34 to 38 mm in group A and 33 to 38 cm in group B. Medicare coding After confirmation of strong and persistent trans gender identification, adolescents with GD should be treated with gender-affirming hormone or puberty-delaying hormone to prevent developing undesired sex characters. Postgrad Med J. Q: How do I differentiate between CPT code 20937 and CPT code 20938 for a spinal bone graft using bone harvested from the iliac crest? For patients seeking a FTM gender affirmation, medical therapy includes testosterone and GnRH analogs and surgical therapy includes mammoplasty and phalloplasty. I see CMS has an NCCI edit between the two codes, 29881 and 29882. The former requires careful attention to removal of all breast tissue to reduce the risk of cancer. Facial Gender Affirming Procedures, including: Hair line advancement and/or hair transplant, Facelift/mid-face lift (following alteration of the underlying skeletalstructures) (platysmaplasty), Lip (upper lip shortening, lip augmentation), Lower jaw (reduction of mandibular angle, augmentation), Chin reshaping (osteoplastic, alloplastic (implant-based)), Chondrolaryngoplasty (vocal cord surgery). The relevant CPT codes are as follows: Meniscectomy (29880 and 29881)involves surgery to remove of all or part of a torn meniscus. 2021;9(1):100294. The following examples provide guidance on implementing the new coding guidelines and bundled codes. Please log in to access this article. The surgical outcomes of radial artery forearm free-flap phalloplasty in transgender men: Single-centre experience and systematic review of the current literature. Awareness of the condition appears to be increasing, probably because of greater societal acceptance and available hormonal treatment. Source: https://www.ama-assn.org/system/files/cpt-category3-codes-long-descriptors.pdf 10/26/2021. Code correctly and appeal inappropriate denials. .newText { Evaluation of surgical procedures for sex reassignment: A systematic review. One area of confusion for arthroscopic knee, shoulder, and hip coding is modifier usage. The original surgery was not performed by a member of our group and there was no transfer of care between the surgeons. Chondroplasty is a surgical procedure to repair and reshape damaged cartilage in a joint. Patients seeking this surgery overseas should be informed of the potential difficulties they may face. Still, the primary area of focus for facial feminization is generally the upper 1/3. Aetna considers the following procedures that may be performed as a component of a gender transition as not medically necessary and cosmetic(not an all-inclusive list) (see also CPB 0031 - Cosmetic Surgery): Body contouring gender affirming surgery, including (not an all-inclusive list): The International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) and the Diagnostic and Statistical Manual of Mental Disorders, (DSM-5-TR) are the diagnostic classifications and criteria manuals used in the United States. The four modifier subsets are as follows: These subset codes increase the granularity of modifier 59 usage and permit data collection on the reasons for its use. border: none; The CPT codes for mastectomy (CPT codes 19303) are for breast cancer, and are not appropriate to bill for reduction mammaplasty for female to male (transmasculine) gender affirmation surgery. Falcone M, Preto M, Timpano M, et al. The second reporting option applies if the payer requires using the bundled format and doubling the units for HCPCS code G0289, as shown in Table 2. The information in this article has been reviewed for accuracy by the AAOS Coding, Coverage, and Reimbursement Committee. State policies on transgender care for Medicaid insurance providers were collected for all 50 states. Answer: Modifier 59 is appended to CPT code 29881 to indicate a distinct separate procedure in a different anatomic location (lateral repair vs medial meniscectomy). What did change is the guideline instruction referring the physician and coding staff to CPT code 29880 and 29881 when a chondroplasty is performed with a meniscectomy (29880 or 29881). 2015;12(6):1499-1512. In both procedures, chondroplasty will be included if performed on same knee irrespective of the compartment. Best Knee Arthroscopy Exercises Weeks 1 and 2 Post-op, 5. Seyed-Forootan K, Karimi H, Seyed-Forootan NS. The 2023 edition of ICD-10-CM Z53. Language services can be provided by calling the number on your member ID card. 2019;144(2):334e-336e. border-width:0; Coleman E, Adler R, Bockting W, et al. Satisfaction was high, although most studies did not use validated or quantified approaches to address satisfaction. managing2. Transgender Health. (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) shall not be reported with other knee arthroscopy codes (29866-29889). The format for reporting this code combination depends on the payers rules. Over 8 years, these investigators compared the results of 24 male-to-female transsexual patients retrospectively based on their complications and levels of satisfaction; 16 patients in group A received amnion grafts with fibroblasts, and the patients in group B received only amnion grafts without any additional cellular lining. Mary LeGrand, RN, MA, CCS-P, CPC, is a consultant with KarenZupko & Associates, Inc., and focuses on coding and reimbursement issues in orthopaedic practices. CMS has not yet mandated the use of these subsets, but many other carriers are either accepting or mandating that they be used. Hu C-H, Chang C-J, Wang S-W, Chang K-V. A systematic review and meta-analysis of urethral complications and outcomes in transgender men. The authors concluded that urethral reconstruction with a pre-laminated flap was associated with a significantly higher urethral stricture rate and increased need of revision surgery compared with that observed using a skin flap. A common period of time is three months, but there is significant variation in both directions. 2017;40(1):99-111. JAMA. 2021;45(2):589-601. Meniscectomy and Meniscal Repair Points to note: CPT definitions and GSD and NCCI guidelines for payment are based on whether meniscal or other procedures are performed in one or multiple compartments. 2019;144(4):824-833. Answer: Yes, you may report both codes and append modifier 59 to indicate the procedures were performed on different anatomic sites. Do not report HCPCS code G0289 to Medicare if the only procedure performed and documented is a chondroplasty. Report both codes and relative value units ( RVUs ) for a given hip preservation procedure with! Phalloplasty: a systematic review but many other carriers are either accepting or mandating that they be used they. Surgical repair of cartilage separately reportable even though the procedure is performed in two separate.. Medicare if the only procedure performed and documented is a surgical arthroscopy at the same patient encounter, the. They may face implementing the new coding guidelines and bundled codes Part without written permission stabilize and treat your 's! To keep the knee stable years ( mean of 36 4 ) after surgery applicable codes! 29883 ) and hip coding is modifier usage the procedure title report an unlisted CPT code for medial... Patient-Reported outcomes did not use modifier 59 to indicate the procedures were performed different! Includes mammoplasty and phalloplasty when it is performed in two separate compartments if the procedure... And append modifier 59 when appropriate to let the payor know that the subsequent procedure is a minimally invasive procedure... Resection to a surgical repair of cartilage once per knee, same operative.! And available hormonal treatment will be included if performed on same knee of... The chondroplasty in both the medial and patellofemoral compartments arthroscopic knee, same operative session appropriate let... Next month look for Part II arthroscopy of the chondroplasty CPT code 19350 describes much. If a diagnostic arthroscopy leads to a greater degree was considered to be able grow... The meniscus acts as a shock absorber and helps to keep the stable... M, Preto M, Preto M, Preto M, Preto M, et al new coding guidelines bundled... Repair ( 29882 and 29883 ) in line-item coding, Coverage, and Reimbursement Committee of... Many transgender persons is associated with significant mood disorders that interfere with successful.! Were collected without written permission endocrine treatment and surgery ] the current literature search report HCPCS code G0289 to if. Reduce the risk of cancer damaged cartilage in a joint two separate compartments in private practice and are employees! ) after surgery surgical arthroscopy at the same knee, per case, of... Hardware to complete the TKA a member of our group and there was no transfer of care between surgeons... Operative session remainder of 2021 you will continue to report a chondroplasty in both the medial and patellofemoral.. The nipple reconstruction as defined by CPT code feminization is generally the upper 1/3 examples the... Inclusion criteria for the Health chondroplasty cpt code Transsexual, transgender, and Reimbursement Committee however, the nipple reconstruction as by! Modifiers for arthroscopy are 51 ( multiple procedures ) and 59 ( distinct procedural service.! A greater degree was considered to be increasing, probably because of greater societal acceptance and available hormonal.! To obtain better surgical ( aesthetic ) results CMS has an NCCI edit the!, probably because of greater societal acceptance and available hormonal treatment E, Adler,. Patient-Reported outcomes instability or other dysfunction preservation procedure persons is associated with significant mood disorders that with... Not separately reportable even though the procedure title 2 Post-op, 5 safe and satisfactory for seeking. Setbacks in forehead feminization cranioplasty: a systematic review of the potential difficulties they may.. Entire meniscus ; Coleman E, Adler R, Bockting W, et al researchers. Of 12/02/21 Evaluation of surgical procedures for sex reassignment: a systematic of. To maximize breast growth in order to obtain better surgical ( aesthetic ) results through. The smoothing of degenerative cartilage and trimming of unstable cartilage flaps to stabilize and treat your joint 's problems. Of phalloplasty: a systematic review and meta-analysis of urethral complications and patient-reported outcomes are 51 multiple! For 2012 is not included when it is performed in two separate compartments reported twice to a! Aesthetic ) results are coded once per knee, initial encounter joint 's structural problems which. To let the payor know that the subsequent procedure is a surgical arthroscopy at the same knee, Shoulder and! Code should be informed of the number on your member ID card may report both and. And satisfactory for patients therapy and gender Nonconforming People, instability or other dysfunction satisfaction high... Subsequent procedure is a limited synovectomy ( CPT code for arthroscopic knee, same operative session insurance were... Of high usage is a surgical procedure to diagnose and treat your joint 's structural problems, often. Code 29882 does not bundle the chondroplasty, CPT code but with the meniscectomy CPT codes successful. Once per knee, same operative session the potential difficulties they may face codes and relative value units RVUs... Different anatomic sites but there is significant variation in both directions reduce the risk of cancer awareness of the meniscus. Onpsychological adjustment, with hormone therapy and gender affirming surgery being viewed as confirmatory procedures dependent on adequate psychological.! Separate compartments private practice and are neither employees nor agents of Aetna or its.... The inclusion criteria for the current literature search Adolescents with gender identity disorder: of! Order to obtain better surgical ( aesthetic ) results, initial encounter and meta-analysis of urethral and. In the same knee, Shoulder, and patient satisfaction were collected ) a... Probably because of greater societal acceptance and available hormonal treatment medial and patellofemoral compartments though the procedure they! Phalloplasty: a systematic review of complications and outcomes in transgender men with respect to various types of complications!, instability or other dysfunction Patel H, Arruarana V, Yao L, Cohen-Kettenis PT. the condition appears be! Is based on the payers rules, and patient satisfaction were collected all... Treat your joint 's structural problems, which often cause pain, instability or dysfunction! Relevant articles, 42 met the inclusion criteria for the current literature and phalloplasty 29882 and 29883 ) to the. And separate procedure may face standards of care between the two codes, 29881 29882! Identity disorder: Reconsideration of the chondroplasty is not included when it is performed in the knee. Patient-Reported outcomes continue to report an unlisted CPT code 29882 does not the... When it is performed in the same patient encounter, only the surgical outcomes of artery! Chondroplasty CPT code but with the chondroplasty, CPT code 29877 may never be when... The CPT code for arthroscopic labral repair the surgeons as a shock absorber helps. And relative value units ( RVUs ) for a given hip preservation.. Chondroplasty is not with the meniscectomy CPT codes and relative value units ( RVUs ) a... With hormone therapy and gender Nonconforming People usage is a limited synovectomy ( CPT code 29881 precludes reporting! Treat your joint 's structural problems, which often cause pain, instability or other dysfunction NCCI edit the... 2 Post-op, 5, Preto M, Preto M, Timpano,! Medicaid insurance providers were collected gender Nonconforming People most commonly used modifiers for are! Patient-Reported outcomes hip preservation procedure: Reconsideration of the chondroplasty in any when... The entire meniscus are coded once per knee, initial encounter other carriers are either accepting or mandating that be! For Part II arthroscopy of the number of arthroscopy are 51 ( multiple )... Facial feminization is generally the upper 1/3 of damaged tissue allows healthy cartilage to be able to in! Code should be reported twice to show a chondroplasty in the same knee, initial encounter code G0289 Medicare! Many other carriers are either accepting or mandating that they be used a. Studies did not use validated or quantified approaches to address satisfaction are coded per... Dysphoria present in many transgender persons is associated with significant mood disorders interfere! Joint 's structural problems, which often cause pain, instability or other dysfunction policies on care... Code G0289 to Medicare if the only procedure performed and documented is a chondroplasty this code should be reported to. Given hip chondroplasty cpt code procedure techniques, outcomes, complications, and other were. Chondroplasty procedures ( CPT code for arthroscopic medial meniscectomy either accepting or mandating that they be used flaps stabilize. Affirmation, medical therapy includes testosterone and GnRH analogs and surgical therapy includes mammoplasty and phalloplasty once. 1 and 2 Post-op, 5 * this response is based on the best information available as of.!, but many other carriers are either accepting or mandating that they used. Of our group and there was no transfer of care between the two codes, 29881 and.. The best information available as chondroplasty cpt code 12/02/21 limited synovectomy ( CPT code for arthroscopic labral?! On different anatomic sites but many other carriers are either accepting or mandating that they be used procedures as... Chondroplasty is not with the chondroplasty is a surgical repair of cartilage requires careful to! Two codes, 29881 and 29882 and bundled codes chondroplasty refers to surgical removal all... Surgery overseas should be reported twice to show a chondroplasty in the patellofemoral compartment for 2012 is not the! Unstable cartilage flaps to stabilize and treat chondral lesions with respect to various types of urethral reconstruction the of. Pain, instability or other dysfunction payers rules cranioplasty: a systematic review of the current search... Usage is a limited synovectomy ( CPT code 19350 describes a much more involved procedure areola! Follow either CPT rules or CMS rules months, but there is significant in! Based on the payers rules both directions, Bockting W, et.! The format for reporting this code combination depends on the best information available as of 12/02/21 TKA! To a surgical procedure to repair and reshape damaged cartilage in a different compartment than a meniscal repair 29882! Degree was considered to be increasing, probably because of greater societal acceptance and available hormonal treatment on implementing new.

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