CPT^® 27486, Under Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint

The Current Procedural Terminology (CPT^®) code 27486 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint.

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Summary

In this procedure, the provider performs revision arthroplasty of any one component of the knee joint. He may or may not use an allograft to perform this procedure. Revision arthroplasty is a procedure in which the provider removes a previously implanted artificial knee joint component, or prosthesis, and replaces it with a new prosthesis.

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Have a question about CPT Code 27486 ? Start a discussion here

Please help with coding!

I am considering coding this as 27486 & C1776 for billing the ASC. Please see the op note and your rendered opinion is greatly needed and appreciated. Would you feel excision of the patellar fragme... [ Read More ]

Knee Revision, patella fx, I+D- HELP!

[TABLE] [TR] [TD][TABLE] [TR] [TD]Patient underwent total knee arthroplasty approximately 10 or 11 weeks ago. He did well for several weeks. He subsequently fell, sustained a periprosthetic patellar... [ Read More ]

Knee Revision - HELP!

CODING

[QUOTE="audralynn1979@aol.com, post: 511972, member: 218226"] Help! Can you bill 13121 with 27486? or is it included? [/QUOTE] There is an NCCI edit for those codes. If the repair was to the knee, t... [ Read More ]

CODING

Help! Can you bill 13121 with 27486? or is it included?... [ Read More ]

Assistance please Ortho coders....patellectomy?

[QUOTE="amyjph, post: 506333, member: 172045"] Interesting. It's difficult without the op note. So they have a TKA (including a patellar component) in place and they are swapping out the patellar comp... [ Read More ]

Assistance please Ortho coders....patellectomy?

[QUOTE="twalls, post: 506332, member: 118606"] Thank you for the reply! It would appear in 2019 in was resurfaced, 2021-the prosthesis was implanted . I can not find anything in the documentation ref... [ Read More ]

Help with bone grafting

If allograft, it is included. Read the code description (either 27486 or 27487 depending) it states with or without allograft. If you don't have it and are doing a lot of ortho I would suggest obtaini... [ Read More ]

Patella resurfacing with tibial liner revision-27486?

I am having a difficult time with getting this op note to upload. Not sure why.. sorry. I will keep trying though. Thank you for your response!! I was also leaning towards the 27486 mainly because he... [ Read More ]

Patella resurfacing with tibial liner revision-27486?

27486 can you attach op note for clarification? 27438 would be if mentions hemi-arthroplasty and places a prosthesis (hemi-arthroplasty) on the back ide of the patella in this code don't have my encod... [ Read More ]

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