CPT^® 27620, Under Excision Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27620 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Leg (Tibia and Fibula) and Ankle Joint.

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Summary

The provider performs an incision in the ankle joint and explores the joint space. He may or may not take a biopsy and may or may not remove a loose or foreign body. He performs the procedure to diagnose a problem with the ankle.

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REMOVAL LOOSE BODY CALCANEOCUBOID JOINT

A body cartilaginous loose body is not a foreign body, so 28192 would not be correct. I'd have to see the operative report to recommend a code, but if the surgeon entered the joint, there may be an ... [ Read More ]

open loose body removal ankle

Dr. did scope removal of chondromalacia in ankle. He then removed the scope and extended the potal to allow access to the loose body which was removed in a sharp manner. I'm can't find a CPT for the... [ Read More ]

CPT help 27610 & 27614

I am new to orthopedic coding and nervous with all the surgery coding. My doc tells me he did this for a suspected deep infection after an ORIF of ankle fx 2 days prior: Procedure: Irrigation and... [ Read More ]

CPT 27620 - denial for dx code

This code is being denied - "procedure not compatible with diagnosis" - I used codes: M93.271 (Osteochondritis dissecans), M89.771 (major osseous defect), M25.771(juvenile arthritis) & R26.2(difficul... [ Read More ]

Arthrocentesis vs Arthrotomy

Hello My provider performed a right ankle arthrocentesis (20605) and right ankle arthrotomy (27620) during the same operation. CPT 27620 was the only code billed as there is a CCI edit between 27620 ... [ Read More ]

Removal of retained foreign body - PREOPERATIVE DIAGNOSES

Take a look at 10121 (Incision and removal foreign body, subcutaneous tissue, complicated), since the joint was not entered and the note states ankle not foot this might be more accurate than either ... [ Read More ]

Removal of retained foreign body - PREOPERATIVE DIAGNOSES

28192 OR 27620? TIA MB,CCS,CPC PREOPERATIVE DIAGNOSES: 1. Foreign body, right ankle POSTOPERATIVE DIAGNOSES: Same PROCEDURE: 1. Excision of foreign body, right ankle ANESTHESIA: Local MAC ... [ Read More ]

Removal of retained foreign body

28192 OR 27620? Tia Mb,CCS,CPC PREOPERATIVE DIAGNOSES: 1. Foreign body, right ankle POSTOPERATIVE DIAGNOSES: Same PROCEDURE: 1. Excision of foreign body, right ankle ANESTHESIA: Local M... [ Read More ]

Removal of retained foreign body

ankle arthrotomies (3 separate incisions)

[QUOTE="woowooz7, post: 332709, member: 265447"]Supine position: My doc made an anterolateral incision and performed arthrotomy with loose body removal (sent to pathology) and spur excisions. An addi... [ Read More ]

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