CPT^® 27495, Under Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint

The Current Procedural Terminology (CPT^®) code 27495 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 treats a defect in the femur using fixation implants like nails, plates, or screws to prevent future issues. She may or may not use methylmethacrylate, a type of bone cement.

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CPT for cephalomedullary nail placed for multiple myeloma?

That is the correct CPT - 27495 sometimes they will also say for treatment of "impending fracture".... [ Read More ]

CPT for cephalomedullary nail placed for multiple myeloma?

I have not, but this did bring to mind a prophylactic treatment of the femur code I have seen in the book. Wondering if this might be helpful... 27495 Prophylactic treatment (nailing, pinning, platin... [ Read More ]

Coding question

There are no NCCI edits for the two codes you mention, however the description you list for 27495 does not match that in Encoderpro, which is: [I]Prophylactic treatment (nailing, pinning, plating, or... [ Read More ]

Coding question

Can 27495 and 20680 be billed together? Code description for 27495 says removal of Superficial implant cannot be billed, but does not say anything about removal of deep hardware. Thank you.... [ Read More ]

20610 (Superior and Inferior SI joint injections)

You are correct, it is per joint. Per Encoder: These codes should be reported only once even if an aspiration and injection are performed during the same session. Local anesthesia is included in t... [ Read More ]

Meniscus Injection

[QUOTE="daedolos, post: 430054, member: 385255"][url]https://med.noridianmedicare.com/documents/10542/2840524/CPT+20610+Coding+Guidance/1d206be5-d097-45c3-a06a-c79c386c467d[/url] [url]http://www.radi... [ Read More ]

Meniscus Injection

[QUOTE="carriganm, post: 430016, member: 299593"]The MCL and the LCL are completely different structures from the knee joint, so I am under the impression I can bill those separately. I have not been ... [ Read More ]

total hip with prophylactic plating

Your query is a little confusing, particularly as to your reference to a [B]"revision"[/B] in the past. What was "revised?" If it was a previous THR that was revised (before), and now revised again... [ Read More ]

Cement fixation

[QUOTE="Rufus186, post: 412261, member: 118125"]Thank you Dr Pechacek, In this case a distal femoral lesion was curetted and left a defect (pt is status post TKR) so for support the physician packed w... [ Read More ]

27358 vs 27495

27358 is add on code for CPT 27357- it is for internal fixation in addition to bone tumor excision. He wants to bill 27495 for the fixation he did in addition to the 27357. What is the difference betw... [ Read More ]

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