Orthopedic Coding Alert

Reader Question:

27829 Describes Maisonneuve Fracture

Question: My surgeon documented a Maisonneuve fracture, but I can't find this terminology anywhere. Is there a CPT code for treating this injury?

Texas Subscriber

Answer: A Maisonneuve fracture is normally a fracture of the proximal tibia with displacement of the syndesmosis. The orthopedist does not treat the proximal fibular fracture, but reduces and repairs the syndesmosis.
 
If your physician's operative report indicates that he performed this service, you should report 27829 (Open treatment of distal tibiofibular joint [syndesmosis] disruption, with or without internal or external fixation).

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