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MM Malunion

L Posted Sun 31st of January, 2016 23:22:20 PM

Can you provide guidance on the following CPT codes:
DIAGNOSIS: Left ankle medial malleolus nonunion.

PROCEDURE:
1.Hardware removal, left medial malleolus.
2.Takedown of nonunion, left.
3.Proximal tibial bone graft harvest, left.
4.Internal fixation with tension band wiring of the medial malleolus, left.

I know the hardware removal is included and the 20900 for the bone graft but am unsure of the other two codes.
Thanks!

SuperCoder Answered Mon 01st of February, 2016 01:59:25 AM

S82.53XA(Displaced fracture of medial malleolus of unspecified tibia, initial encounter for closed fracture)
S82.56XA(Nondisplaced fracture of medial malleolus of unspecified tibia, initial encounter for closed fracture)
20680-(Hardware removal, left medial malleolus)
27703-(Arthroplasty, ankle; revision, total ankle)
27766-(Open treatment of medial malleolus fracture, includes internal fixation, when performed)
CPT code 20680 bundles into 27703.

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