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Split Tear Peroneus Brevus

Melissa Posted Mon 09th of June, 2014 12:16:48 PM

Hello, Our physician performed the following: Primary Repair split tear peroneus brevis with tubularization, tenosynovectomy, peroneus longus. Debridement and repair. I am looking at 27658 but our other coder says 28200.

SuperCoder Answered Mon 09th of June, 2014 15:38:14 PM

Thank you for your question.
Based on the procedure described above, 27658 is the code that best fits the procedure described. I have listed descriptions of both codes below for your review ( 28200 describes a procedure that would include more than what is listed above.

27658-Repair, flexor tendon, leg; primary, without graft, each tendon

Description of Procedure:Physician makes an incision in the skin of leg over the affected area of flexor tendon injury. Tendon is cleared off of the surrounding tissues and the injury/rupture is identified and debrided. The tendon is mobilized and torn ends are brought together and re–approximated with sutures maintaining appropriate length and tension. No graft is utilized. Skin is closed with sutures.

28200-Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon
Description: The procedure involves open repair of torn or ruptured "bending" tendon(s) of foot or toe to restore joints to normal motion. Under local, regional, or general anesthesia, the orthopedist makes an incision over the torn or ruptured flexor tendon of the foot. Surgery could involve the flexor hallucis longus, which bends down the big toe, or the flexor digitorum longus or its branches that bend down the second, third, fourth and fifth toes (flexion of phalanges II–V). The orthopedist sutures the damaged or torn ends of the tendon together before closing the surgical field and applying sterile dressing and a cast, splint or strap to immobilize the affected tendon(s)

Thank you.

Melissa Posted Tue 10th of June, 2014 10:40:14 AM

Would you code 27658 x 2 since the brevus and longus are involved?

SuperCoder Answered Tue 10th of June, 2014 14:55:39 PM

Yes, that would be appropriate.

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