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Right Clubfoot deformity

Rebecca Posted Wed 09th of October, 2019 17:04:46 PM
How would you code: Open posterior medial release of recurrent clubfoot deformity with arthrotomy of the talonavicular joint and the navicular first cuneiform joint with release of tibialis posterior, tibialis anterior tendons and tibialis anterior tendon transfer from medial midfoot to lateral midfoot as well as additional cuboid closing wedge osteotomy?
SuperCoder Answered Thu 10th of October, 2019 06:11:31 AM

Hi Rebecca,

 

Thanks for your question.

 

As per the limited documentation provided, we are providing you the following codes. These may differ depending upon the documentation in the medical records.

 

28262-Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)

28200-Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

28208-Repair, tendon, extensor, foot; primary or secondary, each tendon

27690-Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)

27664-Repair, extensor tendon, leg; primary, without graft, each tendon

28306-Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal

 

There is CCI edit between codes 27664 and 27690. So, code 27664 should reported with modifier 59.

 

Please feel free to write if you have any question.

 

Thanks

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