CPT^® 27659, Under Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27659 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 repair of one or more flexor tendons of the leg, with or without placement of a graft, in a patient who had a prior repair. He performs this procedure to restore function and relieve pain.

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Can you "repair" the peroneal tendons by repairing the "retinaculum" ?

[b]Can you "repair" the peroneal tendons by repairing the "retinaculum" ?[/b] Patient had an ankle injury and the retinaculum over the peroneal brevis and longus was torn. The physician repaired the ... [ 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 ]

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 ]

Primary peroneus brevis tendon repair?

[b]Peroneal tendon repair code[/b] [QUOTE="jdemar, post: 144954, member: 15899"]I do understand the anatomy of the leg/ankle. My 2nd respone is according the 'Orthopedic Decisions' (12/03/10 Pink Sh... [ Read More ]

27659 peroneal tendon repair and 28120 excision of os trigonum

I am wondering if you can bill for both 28120-excison of os trigonum and 27659-peroneal tendon repair? Or is repairing the peroneal tendons part of 28120 because your apporach to get to the os trigon... [ Read More ]

Excision of low-lying peroneus brevis muscle belly - HELP-getting this paid

No its never the only thing done. Most of the time he also debrides or repairs the peroneal tendons or a ligament reconstruction or repair. The main codes he seems to bill it with are 27675 and 27659.... [ Read More ]

Peroneus brevis and peroneus longus tendon repair HELP!!

I would look at 27659 x 2 unless the diagnosis was dislocating tendons.... [ Read More ]

Primary peroneus brevis tendon repair?

I do understand the anatomy of the leg/ankle. My 2nd respone is according the 'Orthopedic Decisions' (12/03/10 Pink Sheet Vol.11, No. 12) a service of DecisionHealth, per Margie Vaught. Question-Are ... [ Read More ]

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