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Podiatry Coding & Billing Alert

Reader Questions:

Master Medial Malleolus Fracture Coding

Published on Fri May 21, 2010

Question: My podiatrist wrote an op note that described treating a medial malleolar fracture. I am not sure which CPT or ICD-9 code to select since several codes seem to apply. Can you help?Wisconsin SubscriberAnswer: For repair or medial malleolar fractures, you need to determine if the podiatrist used a closed or open method.Closed: Closed treatment means the fracture site is not surgically opened (exposed to the external environment and directly visible). If the podiatrist performs closed medial malleolar fracture treatment, report either 27760 (Closed treatment of medial malleolus fracture; without manipulation) or 27762 (... with manipulation, with or without skin or skeletal traction) with 824.0 (Fractures of ankle, medial malleolus, closed) or 824.1 (Fractures of ankle, medial malleolus, open) as the diagnosis.Open: Open treatment means the fracture is surgically opened and visible (internal fixation may or may not be used), or the fractured bone is opened remotely from the [...]
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