CPT^® 27759, Under Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27759 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint.

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Summary

The provider treats a tibial shaft fracture with by placing a nail or rod in the intramedullary canal. He may or may apply interlocking screws and or cerclage. This procedure may or may not involve fibular fracture. He does not treat a fibular fracture separately, if present. He performs the procedure to keep the fracture in alignment and prevent displacement while the fracture heals and to relieve pain.

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Open tx, closed tibia shaft fracture CPT 27759 vs 27756

CPT 27759 is the correct code is indicated in the note ([U][I]A 9mm x 300mm nail was selected and passed over the wire and impacted into[/I][/U][I] position. Using perfect circles technique, two dista... [ Read More ]

Open tx, closed tibia shaft fracture CPT 27759 vs 27756

Hello, We are questioning the coding for the tibia shaft fracture. My thinking is CPT 27759 is supported but I have a coder suggesting an UNL CPT 27899 and compare to CPT 27756. I see an incision was... [ Read More ]

ORIF periprosthetic tibial fracture

[QUOTE="cclarson, post: 498465, member: 605894"] They might be wanting 27759 for the intermedullary implant. I looked online and learned that the rod that was used counts as an intramedullary implant.... [ Read More ]

ORIF periprosthetic tibial fracture

They might be wanting 27759 for the intermedullary implant. I looked online and learned that the rod that was used counts as an intramedullary implant. I feel like 27758 would also work just fine to d... [ Read More ]

77071 during fracture care

If an ortho surgeon performs a stress x-ray during open fracture care, should a 77071 be charged? For example with a 27759, ORIF Tibia shaft fracture. There are no NCCI edits, but this is the surgeo... [ Read More ]

Billing 27758 and 27759 together?

[QUOTE="Orthocoderpgu, post: 473071, member: 29238"] You have to follow the "Golden Rule" the one who has the gold makes the rules. In this case, the insurance company which will not likely pay since... [ Read More ]

Billing 27758 and 27759 together?

You have to follow the "Golden Rule" the one who has the gold makes the rules. In this case, the insurance company which will not likely pay since the codes hit an edit and 27758 is bundled with 2775... [ Read More ]

Billing 27758 and 27759 together?

I have a physician who is trying to bill 27758: Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage and 27759: Treatment of tibial s... [ Read More ]

Closed Treatment Internal Fixation w/ Fibular IM Nailing foot and ankle orthopaedics orthopedic surgery

Can someone point me in the right direction with which CPT code to use for this? Patient had a right distal fibula closed reduction and internal fixation with fibular IM nailing. The only thing I can ... [ Read More ]

27759 and 27535 billable together or incidental even with seperate incision?

Thanks Ryan! Coding Professional to answer your question. One thing I've asked (w/ no answer yet) and still been looking for so far is another list/document similar to NCCI, separate procedure, or the... [ Read More ]

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