Wiki Patella button and poly revision cpt code

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Kalispell, MT
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what code would you use for this? 27486 is for the tibia or fibula so would you have to go with unlisted?
 
You would still bill 27486 (revision of one component) with modifier 52 for reduced services since the entire tibial component is not being revised. This would be true with or without a revision of the patellar component.
 
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