Revenue Cycle Insider

Orthopedic Coding:

Use 27385 to Report Hamstring Tendon Repairs

Question: We reported unlisted code 27599 for a proximal hamstring tendon repair, but the claim was denied. How should we correct the claim? Pennsylvania Subscriber Answer: In the past, 27599 (Unlisted procedure, femur or knee) would be the correct code to assign for a hamstring tendon repair. However, the AMA recently amended its coding recommendations for this procedure. The May [...]
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