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Percutaneous screw fixation for patellar fracture

Susquehanna Valley Posted Wed 03rd of July, 2019 10:02:21 AM
Surgeon performs the following: Using C arm guidance we were able to reduce the fracture and subsequently place two guidepins from lateral to medial through stab holes in the skin. X-rays confirmed good fracture alignment. We then placed a 48mm and 46 mm fixation screw, 4.0 cannulated screw across the fracture site. This provided excellent closure of the gap and good anatomic alignment of the fracture. Percutaneous screw fixation does not exist for the patella alone. I am not considering this just a closed treatment, but it also does fit the description of open treatment either . Am I looking at an unlisted procedure or is there another code that is available. Thankyou!
SuperCoder Answered Thu 04th of July, 2019 10:41:17 AM


Thanks for your question.

We can’t consider this as closed or open treatment. Therefore, based on the limited documentation unlisted code 27599 will be the most appropriate code that can be used.

Hope this helps.


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