Orthopedic Coding Alert

READER QUESTIONS:

CPT Includes Quad Repair Code

Question: Our orthopedic surgeon recently performed a quadriceps tendon repair but told me that no codes in CPT match the description of the surgery he did. Therefore, he's advising me to report an unlisted-procedure code. Is that accurate?


Connecticut Subscriber


Answer: No. You can avoid reporting 27599 (Unlisted procedure, femur or knee) in this situation. Instead, you should submit 27385 (Suture of quadriceps or hamstring muscle rupture; primary) for this procedure. 
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