Orthopedic Coding Alert

READER QUESTIONS :

Proximal Hamstring Repair = 27385

Question: The surgeon performed a proximal hamstring repair and stated that, "a 5.5 metal corkscrew anchor was placed in the ischium, and the sutures doubly loaded, 5.5 corkscrew sutures were placed in a shipstitch using a running locking stitch up and down the hamstring tendon." What is the best code for this procedure? Massachusetts Subscriber Answer: You should file with 27385 (Suture of quadriceps or hamstring muscle rupture; primary). Remember that although the details about anchors and locking stitches are important, the bottom line from a coding perspective is that the surgeon repaired a hamstring tendon, so that's all you should report.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Orthopedic Coding Alert

View All