CPT^® 27658, Under Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27658 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) and Ankle Joint.

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Summary

The provider performs a primary repair of one or more flexor tendons of the leg without the placement of a graft. He performs this procedure to restore function and relieve pain.

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Billing for peroneus tendon repair

[b]Billing for Peroneus Tendon Repair[/b] Hello kmartinez, I agree with CPT 27658 for the repair of the superior peroneal retinaculum as it is a flexor tendon. However, I have CPT 27676 for the Repa... [ Read More ]

Billing for peroneus tendon repair

I would appreciate any help in regards to the surgery performed, as I have minimal experience in podiatry coding. The procedures performed are 1. Repair of peroneus tendon and groove deepening in ... [ Read More ]

Question on Orthopedic Surgical Coding

I agree, 27658 includes 27680 so you will want to bill this one only. You can only bill both if it's a separate encounter, provider, structure, or they are non-overlapping services. If each of the two... [ Read More ]

Question on Orthopedic Surgical Coding

[b]Question on Orthopedic Surgical Coding[/b] According to AAOS, 27680 is considered part of 27658 assuming it is for the same tendon. If not and it is separate tendons, then 27658 and then 27680-... [ Read More ]

Question on Orthopedic Surgical Coding orthopedic question

A physician coded a surgery: 27680 and 27658. It appears from all of the coding guidelines that 27680 is a column code for 27658, and modifier 59 should be added to 27680. The RVUs are higher for 2... [ Read More ]

Posterior tendon debridement and repair

I typically use 27680 for debridement of ankle tendons for tendinitis (PB/PL/PTT). Not sure why a repair for dx as there is no mention of tear/dislocation. If suture only to close incision then no a... [ Read More ]

HELP coding Podiatriy in an ASC

Hi King, The codes produced by you (27658-for PL, 27658-59 for PB and 27695 for ATFL; repair of retinaculum is inclusive) exactly matches with the report. Thanks, Vernon Kreiss... [ Read More ]

Trouble with CPT 27658 vs 27659 with posterior tibial tendon repair

Perfect. I will go with the graft part and dismiss all the other stuff that 27658 states. The coding company said "As per report, it was done at ankle near malleolus and considered as secondary a... [ Read More ]

Trouble with CPT 27658 vs 27659 with posterior tibial tendon repair

[b]It may be the word "graft" in the description of the procedure and documentation[/b] The documentation for 27658 says "without graft". 27659 says "with or without graft". The description of the pr... [ Read More ]

Trouble with CPT 27658 vs 27659 with posterior tibial tendon repair 27658 27659 posterior tendon repair

Hi everyone, I am having trouble wrapping my mind around why the coding company and the doctor are wanting to code CPT 27659 for the following report. I thought it would be 27658 as there was no pr... [ Read More ]

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