CPT^® 27822, Under Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27822 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 all three fractured malleoli of the ankle, the medial, lateral, and posterior malleoli. He secures the malleoli with plates, screws, wires, or pins at two malleoli, the medial and lateral malleoli, but he applies no fixation to the posterior malleolus. The provider generally performs this procedure on unstable fractures that require fixation for additional support.

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28470 with 27822

Physician does open left ankle (trimalleolar fracture) ORIF. CPT 27822. He also states that he does closed treatment for left 2-4 metatarsal fractures. CPT 28470. This is a Medicare patient. There is ... [ Read More ]

Trimalleolar Fracture left ankle nd Proximal fibular fracture Coding

Procedure Title Open reduction with internal fixation left ankle Looking at code 27822 for the ORIF of Trimalleolar Fracture Also looking a 27823 and 27829 Brief summary of op note Incision made of ... [ Read More ]

Syndesmosis Repair with ORIF lateral malleolus

what modifier would you use with cpt code 27822 27829 blue cross foundation... [ Read More ]

ORIF Trimalleolar fx

Thank you both for your input! Now - to convince the insurance company. They were given the same Op Report but insist it is a 27822. I thought I was missing something. Stay healthy and safe!!... [ Read More ]

ORIF Trimalleolar fx

I don't think that this should be coded 27822 since ORIF was performed medially, laterally and the posterior lip. 27823 for sure.... [ Read More ]

ORIF Trimalleolar fx

We coded the following surgery as CPT code 27823 due to the posterior malleolar fragment being fixated. The insurance company is stating this should be 27822. We would appreciate any opinions on wheth... [ Read More ]

27822 with 27846 not for Medicare, can be billed together?

27822 and 27846 can be billed together? I have read in several forums that dislocation cannot be billed together with the fracture. The operation. 1. Open Treatment and Internal Fixation of Right Trim... [ 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 ]

CPT 20680 & 26530 together

[QUOTE="CodingKing, post: 388134, member: 323638"] NCCI doesn't cover every single instance of improper coding. So lack of NCCI edit does not necessarily mean you can code both in the same OP session ... [ Read More ]

Bimalleolar vs trimalleolar ORIF Code

[b]Bimalleolar vs trimalleolar codes[/b] If three malleoli are fractured, you should use a trimalleolar fracture code, even if only two are fixed. For example, if the posterior malleolus is non displ... [ Read More ]

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