CPT^® 27826, Under Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27826 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.

Additional/Related Information

Tabs

Summary

In this procedure, the provider surgically fixes a fracture of the weight bearing articular surface, or portion of the distal tibia, by securing the fibula with plates and screws, wires, or pins. The provider generally performs this procedure on unstable fractures which require fixation for additional support.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 27826 ? Start a discussion here

EXCISION OF AVULSION FRACTURE, LEFT LATERAL MALLEOLUS WITH REPAIR OF THE LATERAL LIGAMENTS avulsion fracture fibula excision ankle excision fibula

Unsure how to proceed with the coding of this case. I have looked at 27695, 27792, 27826 & 28193 but unsure as none of these seem to truly fit to me. POSTOPERATIVE DIAGNOSIS: UNUNITED AVULSION FRA... [ Read More ]

27826 or 27828

It's possible that by doing an open reduction of the fibula, that it indirectly helped reduce a tibia fracture the pt had (if the tibia was also fractured for this pt, just guessing). However, either ... [ Read More ]

27826 or 27828

27826, Dr. never mentioned working on tibia.... [ Read More ]

27826 or 27828

Need help determing whether this surgery is 27826 (fibula only) or 27828 (tibia & fibula). The procedures performed shows ORIF, left pilon fracture w/fixation of the fibula. However, the Dr gave me... [ Read More ]

Tibial plafond fx

The direct answer to your question is [B]yes[/B], fixation of the medial malleolus [U]is[/U] [U]included[/U] in the code [B]27827[/B]. [B]Tibial plafond fractures[/B] are usually rather severe fractu... [ Read More ]

Help needed w/salter harris ii fx

Post OP Diagnosis: Left distal tib-fib fracture with Salter-Harris type II fracture pattern and residual displacement folling closed reduction, casting. OPERATION PERFORMED: Left tibia closed red... [ Read More ]

:confused: HELP! FRACTURE SURGERY DENIAL AETNA

I billed 1 ~ 823.81 closed fracture of unspecified part of fibula 2 ~ 824.4 bimalleolar fracture closed 1, 2 ... [ Read More ]

ORIF distal tib/fib

Dr. did ORIF on seriously comminuted tib fx and ORIF of distal fibula. He wants to charge 2 seperate codes due to the severity of the case. He has chosen 27827 for the tibia. The fibula would be th... [ Read More ]

Percutaneous pinning intraarticular ankle fracture

My ortho surgeon does percutaneous screw fixation on distal tibia for a Salter IV intraarticular fx. For those familiar with ortho, would you recommend an unlisted code or 27825 or 27826? Thanks for... [ Read More ]

ORIF several Fib FX with Bone Graft

I am unsure and have been looking through previous post for any simular cases, but did not find - ORIF severely comminuted fibular fractures with cancellous bone graft right fibula/BMP/Infuse graft ri... [ Read More ]

View All