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  #1  
Old 10-17-2008, 01:12 PM
sheilarkey sheilarkey is offline
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Default Quadriceps tendon rupture

Does anyone have documentation that states 27385 should be coded when there is a quadriceps 'tendon' rupture - even though the muscle isn't really ruptured? The CPT code and the Encoder Pro description are very literal to muscle repair and not tendon repair but I thought I had seen something about using this CPT code for the tendon repair too.
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Old 10-17-2008, 01:31 PM
thelma thelma is offline
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have you cked 27306-27307 these are inclusive to 27385; used ingenix orthopaedics lower hips and below
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Old 10-17-2008, 02:28 PM
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mbort mbort is offline
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I think the 27385 is the most appropriate for repair of the quadriceps. The crosscoder has more diagnosis codes than just a "rupture". I would read the lay description in the coders desk reference and compare with your op note to see if it fits. If it does, use it.
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Old 10-19-2008, 07:50 AM
lfollebout lfollebout is offline
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There is no code for the repair of the quadriceps TENDON, it must be reported with the unlisted code. Per CPT "do not select a CPT code that merely approximates teh service provided".
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Old 10-20-2008, 12:15 PM
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mbort mbort is offline
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Quote:
Originally Posted by lfollebout View Post
There is no code for the repair of the quadriceps TENDON, it must be reported with the unlisted code. Per CPT "do not select a CPT code that merely approximates teh service provided".
I disagree.

27385 Suture of quadriceps or hamstring muscle rupture; primary

quadriceps (kwŏd'rĭ-sěps') Pronunciation Key

The large, four-part muscle at the front of the thigh that arises in the hip and pelvis and inserts as a strong tendon below the kneecap (patella). The quadriceps straightens and helps stabilize the knee.
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Old 10-21-2008, 04:40 PM
risnerclan risnerclan is offline
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I agree with mbort.
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Old 04-03-2009, 07:09 AM
Patty B Patty B is offline
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Default Arthrotomy/ quadriceps repair?

Saw this thread, and although it is old, was wondering if appropriate to also code the Arthrotomy, drainage of hematoma with the quadriceps tendon repair?

thanks
PB
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Old 04-04-2009, 09:24 AM
martnel martnel is offline
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I too thought it was 27385, then I saw in the AHIMA CCS_P Exam Prep book they give 27664 as the answer for the repair of a quadriceps tendon rupture... Exam 1, case #8... that was a bit of a surprise to me.
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Old 01-20-2010, 01:34 PM
JMateski JMateski is offline
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Default repair quadriceps rupture

27664 is for repair of a extensor tendon in the lower leg (tibia or fibula) or ankle joint. AHIMA's prep books have been fraught with error.
Mary's answer is the correct one
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