Tanesha Posted Sun 02nd of February, 2020 23:50:12 PM
Agree with 27658, 28086, and 27675? Not sure of 27675 because of no anchors, etc. used as the CDR states, but tendon reduced. Excerpt: curvilinear incision was made over the peroneal tendons over the lateral aspect of the ankle. Acute and chronic synovitis was noted and synovectomy was performed. The peroneus brevis tendon was dislocated, inspected and was shown to have a typical longitudinal split tear.
The internal surfaces of the longitudinal split tear was curetted. Retubularization was carried out with a combination of interrupted 2-0 Monocryl suture and a running 3-0 Monocryl suture. After completion of retubularization, the tendon was reduced behind the distal fibula with no tendency towards dislocation. Closure was carried out in layers.
SuperCoder Answered Tue 04th of February, 2020 09:40:03 AM
Thanks for your question.
As per the limited documentation available, the codes appears to be appropriate with the documentation.
Code 27675 suggests that when the patient is appropriately prepped and anesthetized, the provider makes an incision in the skin in the posterolateral ankle groove and dissects the soft tissues, carefully exposing the peroneal tendons, the tendons behind the ankle joint. He identifies the dislocation and torn retinaculum, the fibrous band that secures a tendon in place. He then brings the peroneal tendon into correct anatomical position and repairs the retinaculum with sutures. He closes the incision with sutures.
Also, append modifier 51 to subsequent procedures, e.g., the second, third, fourth procedure, if the same provider performs multiple procedures for the same patient during the same encounter.
Hope this helps.
Tanesha Posted Tue 11th of February, 2020 01:00:36 AM
SuperCoder Answered Tue 11th of February, 2020 23:42:46 PM
Thank you, happy to help.