CPT^® 27827, Under Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27827 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 a fracture of the weight bearing articular surface, or portion of the distal tibia by securing the tibia with plates and screws, wires, or pins.

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Have a question about CPT Code 27827 ? Start a discussion here

Arthrodesis or other fixation?

I'm having some trouble with this surgery and would love some insight from some of you more experienced orthopedic coders. I was thinking Arthrodesis of the ankle, but I really don't think that is co... [ Read More ]

Malunion Tibia

Need some help please. Have a case I am coding that is a six week old fracture patient was seen at an outside facility put in a short leg splint, but was unable to follow up with PCP for referral in ... [ Read More ]

External Fixator with Closed Treatment and return to OR for staged ORIF

I have a billing/coding question related to external fixator placement. Is it commonplace to bill 20690 (uniplanar external fixator) and 27825 (closed manip tx pilon) at the initial surgery, and a... [ 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 ]

Ankle fracture coding

Patient has a bimalleolar fracture and a distal tibial fracture of the right ankle. In operative report the dr states that he does an ORIF of the right ankle for the bimalleolar fracture and fixation ... [ Read More ]

Tibial Plafond Fracture

Surgeon did ORIF of a tibial plafond fracture. He is including the fixation of the medial malleolus as part of CPT 27827. The question is whether or not CPT 27784, ORIF of the fibula shaft, is separ... [ Read More ]

CPT assistance for percutaneous fixation of tibial plafond fx

Can anyone please give assistance for percutaneous fixation of a tibial plafond fracture? Only percutaneous fixation code is 27756 which is for a tibial shaft fracture. Codes for tibial plafond frac... [ 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 ]

Tibial plafond fx

Dr. performed an ORIF of the distal tibial pilon fx. During the procedure he also repaired the medial malleolus and medial aspect of the tibia were fixed. Same incision. Is this all included with 2... [ Read More ]

Ankle Fx

I agree with 27827 but would also add 27758; Salter-Harris fx Type I [B]Type II[/B] break through part of the bone at the growth plate and crack through the bone shaft as well. [B]Type III [/B]bre... [ Read More ]

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