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.
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.
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.