Wiki excision of distal fibular nonunion fragment

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dmaec

dmaec

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Hey,
Procedure: Excision of distal fibular nonunion fragment with repair of lateral ankle ligaments.

I've been researching all morning and have yet to find a CPT code for the exicsion procedure. The provider excised the nonunion fragment (as it was felt its healing potential was quite poor).

I cannot find a code for this, I'm hoping I don't have to use an unlisted code! :( I have found several other codes, revisions, repair, etc., but nothing for excised,..it's NOT included in the repair of the ligaments code.

I'm at a loss...

any help would be GREATLY appreciated!!
THANKS TONS!
Donna
 
come on fellow coders! 40 viewers and NO OPINIONS?

no "well maybe _____?" :)

AAAAAAAAAny suggestions!!

please help! :)
 
depending where it is soft tissue-20520, 20525: joint-27620: 27635??? just some suggestions, you'll need to read the detail in the op note to choose the correct one.
 
yes, thank you jdemar... I've looked at those codes also :( it's just that (and of course I haven't posted procedure note), none of the codes even come close to what the provider documents he did.

I've decided it'll be best to talk to the provider and see what he feels he did, what procedure he feels he did.. I have a big feeling, this is going to be an unlisted CPT ...

thanks for your input!
I appreciate it!
 
excision nonunion fibula

I agree with Evelyn. Nonunion repair codes . 27726 repair of fibula nonunion with internal fixaton...to give you a code without the op report is not accurate or specific to details.. Did it have internal fixation?

Have a nice day...
 
IF ITS JUST REMOVAL OF BONE FRAGMENTS AND THE INCISION IS SEPERATE - I SUGGEST TO TAKE 27620 WITH MODIFIER XU. AND INCASE THE INCISION IS SAME FOR BOTH THE PROCEDURES DONE THEN REMOVAL OF BONE FRAGMENTS IS CONSIDERED AS INTEGRAL PART OF THE LIGAMNET REPAIR.
 
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