Wiki Ankle Surgery Help

[Sara82]

Doctor wants to charge for I&D of medial side of ankle and ORIF of lateral side of ankle. would the I&D be included in the ORIF? If not, what code would you use for the I&D. I have CPT 27848 for the ORIF. Thanks in advance for your help!



POSTOPERATIVE DIAGNOSIS:
Grade 1 open ankle fracture dislocation, left ankle.

OPERATION PERFORMED:
1. Irrigation and debridement of the medial-sided open soft
tissue wound.
2. Open reduction and internal fixation of fracture dislocation
of ankle with plating of lateral fibular fracture.

 

[Mojo]

Look at 1101x, depending on the depth of the debridement. I did not see that the 1101x codes were bundled with 27848 in the NCCI edits.

 

[Treetoad]

I agree with Mojo--depending upon depth.