Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Orthopaedics
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 11-20-2008, 10:57 AM
ebarnett ebarnett is offline
Networker
 
Join Date: Apr 2007
Posts: 48
ebarnett is on a distinguished road
Default tear of peroneus brevis tendon

A patient has a longitudianl split tear of the peroneus brevis tendon of the left lower extremity. The physician performed a debridement and primary repair of peroneus brevis tendon. The physician is looking at code 27664 and I'm thinking 28208. The tear is on the outside of the patient's foot not quite up to the ankle. Here's the main part of the sx notes:

A hockey stick incision was made posterior & inferior to the level of the fibula & tibial malleolus distally. The incision was deepened through skin and subcutaneous tissue with care being taken to identify and retract vital neurovascular structures. The tendon sheath was identified & incised at the level of the peroneal tendons. The tendon sheath was completely opened within the the full extent of the surgical wound. The peroneus longus tendon was identified & evaluated & noted to have no direct injury or split tear presen. The peroneus brevis tendon was identified & noted to have a 6 cm longitudinal split tear with additional areas of fragmentation. All these areas were debrided and freed, and these sections of nonviable tendon were sent from the operating table for specimen and pathological evaluation. At this time the tendon was reapproximated and tubularized using a 2-0 Ethibond stitch in a running locking suture technique....
The rest of the report is closing the sx area.
Reply With Quote
  #2  
Old 11-20-2008, 11:08 AM
mbort's Avatar
mbort mbort is offline
True Blue
 
Join Date: Apr 2007
Location: ENGLEWOOD/DENVER
Posts: 2,333
mbort is on a distinguished road
Default

I think the physician is correct. It dont believe it matters exactly where the tear is (except for dx purposes). I that since his approach is through the leg (distal tib/fib) and not the foot (unless I missed something) that the 27664 is more accurate.
Reply With Quote
  #3  
Old 11-20-2008, 11:10 AM
ebarnett ebarnett is offline
Networker
 
Join Date: Apr 2007
Posts: 48
ebarnett is on a distinguished road
Default peroneus tendon repair

Thank you. I was questioning myself on the codes so you helped a lot.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 09:51 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC