BFAITHFUL
Expert
our doc performed an achilles tendon repair with a PRP matrix graft and he seems to think because he used the PRP, that now he can use CPT 27652 which is a repair with graft, but PRP is not really a graft it's just platelet rich plasma (blood), it's not a tissue graft or tendon graft. I'm leaning more towards CPT 27650? Thanks
DX: Rupture of right Achilles tendon
Procedure:
A medial incision was made along the achilles tendon. Skin flaps were minimally elevated. The tendon was left with its paratenon and was irrigated out with normal saline. Grabbing the proximal portion, a whipstitch was placed just distal to the myotendinous junction until the end. The whipstitch was then cut and the needle was removed leaving 2 inches for suturing. This was performed at the distal end starting from distal to proximal and then cutting the suture with the knee in flexion and the foot in equinus. The sutures wer then tied with a surgical knot with a well secured repair. The leg was then placed on the table, irrigated out again, and a PRP matrix was then sutured with 4-0 Vicryl interrupted sutures over the repair line.
DX: Rupture of right Achilles tendon
Procedure:
A medial incision was made along the achilles tendon. Skin flaps were minimally elevated. The tendon was left with its paratenon and was irrigated out with normal saline. Grabbing the proximal portion, a whipstitch was placed just distal to the myotendinous junction until the end. The whipstitch was then cut and the needle was removed leaving 2 inches for suturing. This was performed at the distal end starting from distal to proximal and then cutting the suture with the knee in flexion and the foot in equinus. The sutures wer then tied with a surgical knot with a well secured repair. The leg was then placed on the table, irrigated out again, and a PRP matrix was then sutured with 4-0 Vicryl interrupted sutures over the repair line.