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Percutaneous Reduction w/internal fixation

Linda Posted Mon 27th of August, 2012 20:14:27 PM

Pt is 8 weeks postop a total ankle replacement and was recently diagnosed with nondisplaced medial malleolus fractre. Same ankle/same physician. Due to the potential complication inherent with this type of fracture and ankle implant, physician deemed it necessary to fixate the fx for stabilization and prevention of displacement in the future.

Under floroscopic control, a guidewire was used to place a cannulated screw into the medial malleolus. I do not see a percutaneous code. Do I bill an open code-27766?

SuperCoder Answered Tue 28th of August, 2012 19:43:17 PM

You may come across a physician treating medial malleolus fractures with closed manipulation and percutaneous fixation, but there is no CPT code for this procedure. -You would need to bill this method with an unlisted procedure code (27899, Unlisted procedure, leg or ankle).Be sure to include the op note, a description of the procedure, and a letter describing a comparable established procedure.

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