27675 Peroneal tendon repair and bundled procedures

Carsil864

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I could really use some help on this. I have a surgeon that is adamant about billing 27675, 27680 and 27630. According to the AAOS Complete GSD for Orthopedic surgery, 27680 and 27630 are included in 27675 "except for a different pathological diagnosis". She tells me when she was in private practice she always billed them together and was always reimbursed. I am not in a position to tell her that just because they were paid, doesn't mean it's correct coding.

First of all, I'm not sure how to interpret "except for a different pathological diagnosis". What does this mean?

If anyone has any history with these codes I would appreciate your input. I would really like to tell her why these 2 codes are included in 27675. I cannot find anything useful on the web.

Thank you!
 
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