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ASA Crosswalk 27759

Phyllis Posted Tue 15th of April, 2014 18:01:37 PM

In the 2013 ASA Crosswalk, CPT 27759 crossed to anesthesia code 01484. In the 2014 ASA Crosswalk, it crosses to 01392 with alternate 01480. Can you tell me why the change and in what instances you would use 01392 versus 01480?

SuperCoder Answered Thu 17th of April, 2014 14:45:53 PM

Code 27759 describes repair of a tibial shaft fracture. 01480 is for anesthesia during an open procedure on bones of the lower leg, ankle or foot -- 01392, however, is for open procedures on upper ends of the tibia, fibula or patella.

The old crosswalk code of 01484 is for anesthesia during osteotomy or osteoplasty. That's when the surgeon is cutting/removing bone or surgically repairing/altering the bone. In 27759, the surgeon is using some type of rod/implant to stabilize the bone and reconnect the pieces. That very different from osteotomy or osteoplasty.

I haven't seen anything official regarding the crosswalk code change, but it seems like 01392 is better represents the surgery than 01484 did.

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