• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Achilles Tendon Rupture

Joyce Burchett

Networker
Messages
43
Location
Mount Auburn, IL
Best answers
0
Need help understanding when to use 27650 & 27654. CPT 27650 or 27654 & 28119?
Proc: Achilles tendon repair utilizing a Biomet Lacto Screw 5.5 x2 & Graft Jacket 4X7
Attention directed to posterior aspect Rt ankle where a linear incision was placed. This incision was deepened with sharp & blunt dissection with care being taken to identify, retract, and isolate out all neurovascular structures & to coagulate any superficial bleeding vessels. The rupture was identified. It had retracted about 2 cm proximally to the insertion at the posterior aspect of the calcaneus. Approximately 2cm of distal free end of the tendon was necrotic. This was transected & passed off the surgical field. Blood clots were aspirated. The area was copiously flushed.
Pt. had previously suffered from retrocalcaneal exostosis with tendinitis. Therefore, we performed a linear incision at the posterior aspect of the calcaneus. All periosteal tissue was carefully dissected both medially & laterally. The exostosis was removed utilizing a high-speed oscillating saw. Utilizing an oscillating rasp, we then burrd down the posterior aspect. There was a small portion that we fenestrated proximally with a 0.045 K-wire. After doing measurements, it was decided that we needed to use a 4X7 Graft Jacket max.
This was wrapped around the proximal healthy tendon & sutured to it first. A small portion of this was transected due to the overlap.
 
Top