2025 CPT code 27403

Arthrotomy with meniscus repair, knee.

Refer to CPT guidelines for surgical procedures on the musculoskeletal system. Modifier 50 should be appended if the procedure is performed bilaterally.Modifier 76 is used for repeat procedures by the same physician. Modifier 54 should be used if the surgeon performing the initial treatment is not providing subsequent treatment.

Modifiers 50, 76, and 54 are applicable.

Medical necessity is established by the presence of a symptomatic meniscus tear confirmed by imaging.The arthrotomy is medically necessary to repair the tear to relieve pain, improve function, and prevent further joint damage.

The orthopedic surgeon performs the arthrotomy, debridement, repair, and closure of the knee meniscus.

IMPORTANT For arthroscopic repair, use 29882.

In simple words: The doctor cuts into the knee joint to fix a torn piece of cartilage (meniscus). They clean out the damaged part, stop the bleeding, and sew the cartilage back together.

This procedure involves a surgical incision (arthrotomy) of the knee joint to access and repair a damaged meniscus.The surgeon makes a medial or lateral incision depending on the location of the meniscus tear, opens the meniscus, removes damaged tissue (debridement), achieves hemostasis, and sutures the meniscus to facilitate healing.The incision is then closed in layers.

Example 1: A 35-year-old athlete sustains a medial meniscus tear during a sporting event.An arthrotomy is performed to repair the tear, restoring joint stability and function., A 60-year-old patient presents with chronic knee pain and instability due to a degenerative meniscus tear.Open surgical repair via arthrotomy is chosen to address the significant damage., A 22-year-old patient experiences a lateral meniscus tear following a motor vehicle accident.Arthrotomy is used to repair the damaged meniscus, along with other necessary procedures to address associated injuries.

* Preoperative diagnosis, including imaging studies (MRI) showing the meniscus tear.* Operative report detailing the surgical technique, including the type of incision, debridement extent, repair method, and hemostasis.* Postoperative recovery notes, including pain management and physical therapy plans.* Any complications encountered during or after surgery.

** The choice between arthroscopic and open repair depends on the severity and location of the tear, as well as surgeon preference and patient factors.

  • Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
  • Payment Status: Active
  • Modifier TC rule: Not applicable.
  • Specialties:Orthopedic Surgery
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center
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