CPT^® 27438, Under Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint

The Current Procedural Terminology (CPT^®) code 27438 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint.

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Summary

In this procedure, the provider repairs and replaces a painful, damaged knee cap with an artificial knee cap prosthesis.

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Codes for a Bicompartmental arthroplasty?

I have researched and found 27446 and 27438-59 OR unlisted. I am thinking since patellafemoral is unlisted by itself - bill 27446 and unlisted for the patellafemoral? Anyone billed for this - though... [ Read More ]

Assistance please Ortho coders....patellectomy?

[QUOTE="amyjph, post: 506333, member: 172045"] Interesting. It's difficult without the op note. So they have a TKA (including a patellar component) in place and they are swapping out the patellar comp... [ Read More ]

Assistance please Ortho coders....patellectomy?

[QUOTE="twalls, post: 506332, member: 118606"] Thank you for the reply! It would appear in 2019 in was resurfaced, 2021-the prosthesis was implanted . I can not find anything in the documentation ref... [ Read More ]

Patella resurfacing with tibial liner revision-27486?

I am having a difficult time with getting this op note to upload. Not sure why.. sorry. I will keep trying though. Thank you for your response!! I was also leaning towards the 27486 mainly because he... [ Read More ]

Patella resurfacing with tibial liner revision-27486?

27486 can you attach op note for clarification? 27438 would be if mentions hemi-arthroplasty and places a prosthesis (hemi-arthroplasty) on the back ide of the patella in this code don't have my encod... [ Read More ]

Patella resurfacing with tibial liner revision-27486?

I have a case where my doc is replacing a tibial liner and did a patella resurfacing procedure with a patella button on a previously place TKA. My provider thinks that this will be 27487. I am thinkin... [ Read More ]

Patellofemoral arthroplasty - I need advice

Coding Correction: Reporting Patellofemoral Arthroplasty With Trochlear Resurfacing CPT® Assistant February 2021 / Volume 31 Issue 2 In a question under the heading, “Surgery: Musculoskeletal Sys... [ Read More ]

How do you bill for Bupivicane?

[QUOTE="elsamunguia1@outlook.com, post: 492304, member: 603394"] WE BILLED EXPAREL FOR C9290 RT = 266.0 UNITS = $400.00 AND TO THE C9290 LT 266 mg/20 mL Single-dose viaL USING ALL OF IT ON EACH SID... [ Read More ]

How do you bill for Bupivicane?

WE BILLED EXPAREL FOR C9290 RT = 266.0 UNITS = $400.00 AND TO THE C9290 LT 266 mg/20 mL Single-dose viaL USING ALL OF IT ON EACH SIDE WITH 27446 RT, 27446 - LT AND 27438 RT AND 27438 LT. BOTH C92... [ Read More ]

Exchange of polyethylene liner, knee - The physician's report reads

Can I revive this last post? I have two of these where he exchanged the tibia liner 27486-52 and also had to do 27438 because of significant wear on the native patella. Would this still be only 27486-... [ Read More ]

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