Orthopedic Coding Alert

Reader Question:

Tibial Stripping

Question: How should I code for a posteromedial tibial periosteal stripping that I did in addition to a posterior compartment release?

Montana Subscriber  
Answer: Use 27607 (Incision [e.g., osteomyelitis or bone abscess], leg or ankle) in addition to 27601 (Decompression fasciotomy, leg; posterior compartment[s] only). Append modifier -51 (Multiple procedures) to 27607 if your carrier recognizes it.
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