CPT^® 27814, Under Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27814 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

In this procedure the provider surgically fixes two of the broken malleoli of the ankle that is the lateral and medial malleoli, the lateral and posterior malleoli, or the medial and posterior malleoli. He secures the malleoli with a plate and screws, wires, or pins. The provider generally performs this procedure on an unstable fracture, which requires fixation for additional support.

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Bimalleolar or Fibula

I agree with 27814. The op note mentions medial and lateral fractures and hardware placed for both.... [ Read More ]

Bimalleolar or Fibula

27792 is not correct. It is 27814. The report you have above describes bimalleolar ORIF. Open treatment of bimalleolar ankle fracture (eg,[B][COLOR=rgb(235, 107, 86)] lateral and medial malleoli[/COLO... [ Read More ]

Percutaneous fixation of medial malleolus

In my opinion, a bimalleolar fracture repair would be coded: [B]27814 [/B][I]Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial... [ Read More ]

Ankle fracture reduction

Technically, you shouldn't use 27814 if there was only one incision site. Peace @_* [ATTACH type="full" alt="4503"]4503[/ATTACH]... [ Read More ]

Bimalleolar equivalent fracture

A patient presents with a bimalleolar equivalent fracture and only the lateral malleolus is reduced and then fixed with internal fixation. There was no need to do a deltoid ligament repair so a cast ... [ 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 ]

PAs as surgical assistant for Work Comp claims

Need some help with Work Comp coding for surgery claims with a physician assistant as the assist at surgery. We keep sending in claims for our PA and we keep getting these claims kicked back. For exa... [ Read More ]

Closed treatment w/manipulation and ORIF trimal ankle done on same day

Hi all, I am trying to confirm if our surgeon can submit both cpt codes 27810 and 27814 done on the same day but different encounters. Pt was seen in ER and closed reduction was performed under c... [ Read More ]

Please - URGENT HELP NEEDED -Should it be a 27792 or 27814???

Regardless of the confusion, this was [B]Open Treatment of a Bimalleolar Ankle Fracture with Internal Fixation[/B] (apparently [U]only[/U] of the Lateral Malleolar Fracture), [B]27814[/B]. The Operat... [ Read More ]

Please - URGENT HELP NEEDED -Should it be a 27792 or 27814???

I would agree with 27792. You could put modifier 22 on the procedure for increased procedural services. My thinking is he did not actually correct two fractures, only one. 27814 is for bi-mall. Eve... [ Read More ]

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