Deltoid ligament repair

cmedina

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Will someone please advise which is the correct code for a deltoid ligament repair (27814 or 27698)... The diagnosis is "ligament insufficiency". Please clarify the difference.

Thank You
 

Frosty

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Deltoid ligament repair for a current injury would be 27695, but it sounds like from your diagnosis that this is an old injury, so I think 27698 would be right. The code 27814 is open txmt bimalleolar ankle fx, so would not be the code for the ligament repair.
 

cmedina

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Montclair, NJ
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Thanks... The doctor confused me initially. He kept arguing with me about using the fracture code. I still billed the 27698.
 
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