orthopedic surgery

  1. J

    Wiki Hand Surgery Help-- Finger/ Hand Tenolysis surgery

    Hi-- If anyone could please help me. Aetna has denied the surgery as Operative Report does not support. All CPT codes have been denied. The operative report below was sent to Aetna. I am not sure if I am missing something. The CPT codes billed are 25295/59, LT (2 units), 26445/51,F1, and...
  2. J

    Wiki Dermal Allograft with Rotator cuff tear

    What code do you use for a human dermal allograft performed with an arthroscopic rotator cuff repair? CPT 15777 is for the trunk or breast, so should CPT 17999 be used or is it bundled to the repair?
  3. J

    Wiki EPL tendon extra-retinacular transposition wrist surgery Coding help

    Hi- Can anyone help me with coding this surgery. I am leaning towards CPT 25310, 25270 The patient identification, operative site, and operative procedure were verified with the patient preoperatively in the holding area and again at the safety pause in the operating room. The patient was...
  4. J

    Wiki Hand Surgery Coding Help

    Coding help! Hands surgery. UHC has denied the CPT codes billed as not documented? I am lost? The codes billed are 26445, 64772, 25295. If someone could please give me second opinion. The operative report is below: Postoperative Diagnosis Left wrist retained hardware (volar plate and dorsal...
  5. M

    Wiki Need Help with CPT Codes!!! I am coding 24346,24344,24366,24685, CPT codes 64718 and 24345 bundle

    Please see attached surgery in question. Need assistance due to CPT code 24666 vs. 24366, and coding CPT code 24341 vs. 24344 and 24346. A few of my coworkers have reviewed the note, but we are not agreeing on all codes. So I am posting here to get some other opinions. There is so much going on...
  6. E

    Wiki Sacroiliac Fusion

    Hello! I've been having issues understanding when to use 27279 vs 0775T. I understand that both codes are determined based on the transfixation of the sacroiliac joint. To me...this definitely is a 0775T however, I've gotten so many denials for this code that it's making me doubt the coding...
  7. K

    Wiki Medializing calcaneal osteotomy

    My orthopaedic surgeon performed on the left foot the following: 1. Posterior tibialis tendon debridement and FDL transfer to navicular bone (27691). 2. Spring ligament reconstruction with InternalBrace (28899, compare to 27698). 3. Medializing calcaneal osteotomy - I'm not sure if 28300 is...
  8. O

    Wiki Staged revision of arthroscopic ACL

    One of our providers is performing an arthroscopic bone grafting of the femoral and tibial tunnels as the first stage of the revision with an arthroscopic partial medial meniscectomy. She is wanting to bill out 29881, 27356 & 27638; we have searched and are suggesting 29881 with 29999(compared...
  9. D

    Wiki Closed Treatment Internal Fixation w/ Fibular IM Nailing

    Can someone point me in the right direction with which CPT code to use for this? Patient had a right distal fibula closed reduction and internal fixation with fibular IM nailing. The only thing I can come up with relatively close is 27759 but that is for the tibia. Below is a portion of the OP...
  10. L

    Wiki Insight: Superior Capsular Reconstruction & Rotator Cuff Repair

    In patients with chronic rotator cuff disease, loss of the glenohumeral force couple, generated by the rotator cuff, results in superior subluxation of the humeral “head” and attenuation of tendon and joint capsule. Tissue degeneration also results in a high risk of failure when using more...
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