We make it easy to find the online medical coding solution with just the features you need! |Learn More >>
Orthopedic Coding Alert
Print Friendly and PDF

Reader Question: Triplane Tibial Fracture Means Single Code

- Published on Thu, Apr 21, 2016

Question: How do you report the cannulated screw fixation of a triplane fracture?

Alaska Subscriber

Answer: A triplane fracture extends through the transverse (growth plate), sagittal (epiphysis), and coronal (distal tibial metaphysis) planes of the distal tibia. It disrupts the tibial plafond intra-articularly. You report code 27827 (Open treatment of fracture of weight bearing articular surface/portion of distal tibia [eg, pilon or tibial plafond], with internal fixation, when performed; of tibia only) for cannulated screw fixation of the triplane fracture.

You report 27827 when the fracture is directly visualized. If the screws are inserted percutaneously, you report the unlisted code 27899 (Unlisted procedure, leg or ankle), though it is rare to see this approach.

Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*