Linda Posted Wed 24th of October, 2012 12:31:01 PM
Dx Arthritis, talocalcaneal joint & soft tissue mass dorsolateral ankle. Path report states ganglion cyst and bursitis.
The mass was excised followed by a synovectomy of the peroneus brevis and longus tendons. I am thinking about using codes 27630 and 27681 though they do hit an edit. I see only one incision therefore I will not bill them both. My question is, because the doc states "both the talocalcaneal and ankle joint in the area were shown to be arthrtic with periarticular osteophytes" a bone decompression and debridementy arthroplasty in the area of the mass was done.
I am not sure if the debridement should be billed in addition to the excision of the mass. (same area) (same incision).
What are your thoughts?
SuperCoder Answered Thu 25th of October, 2012 11:17:17 AM
Not at all. I agree with your approach only 27630 will be coded here and debridement will be inclusive to it. Its a same incision which again confirms no additional reporting of debridement codes.