skorkfranks
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My doc just started doing these and I wanted to make sure I am coding correctly. I have codes 27691, 27692+ x2, 28250-59, and 27686.
OP note states
"Following induction of anesthesia, the patient's leg was prepped and draped in usual sterile fashionthrough 3 percutaneous stab wounds. Heel quadrant was first lengthened. Thisallowed for correction of the equinus to neutral.
Attention was then turned to the vast component. Then, through a medial incision just plantar to the first ray, the brevis muscle was lifted subperiosteally and retracted
inferiorly exposing the master knot of Henry. The FDL and FHL tendon was then
approximately lengthened at the distal aspect.
Attention was then turned to the posterior medial aspect of the ankle. An incision was made. FDL was dissected from its tendon sheath and then retrieved through this incision and tunneled subcutaneously to the medial border of the calcaneus where a 5-mm
drill hole was used to drill transcalcaneally. The FDL was placed into this
tunnel and secured using a 7 x 25 mm Milagro bioabsorbable screw from DePuy
system.
Attention was then turned to the dorsal aspect of the foot. Anterior
dorsal medial incision was made. The tibialis anterior tendon was identified.
The lateral half was harvested. Through incision proximally, the lateral
half of the tibialis anterior tendon was fished out through the proximal
aspect of the incision and tunneled subcutaneously to the lateral border of
the foot. A small incision was made over the cuboid. The tunnel was drilled
from the cuboid laterally to medially. Anterior tibialis tendon was then
passed into this tunnel and secured using a 7 x 25 Milagro bioabsorbable
screw. This allowed correction of the foot from equinovarus into plantigrade
position.
Attention was then turned to the individual's lesser toe flexors
and then _____ stab wounds plantarly.
Thanks for any help you can give me.
OP note states
"Following induction of anesthesia, the patient's leg was prepped and draped in usual sterile fashionthrough 3 percutaneous stab wounds. Heel quadrant was first lengthened. Thisallowed for correction of the equinus to neutral.
Attention was then turned to the vast component. Then, through a medial incision just plantar to the first ray, the brevis muscle was lifted subperiosteally and retracted
inferiorly exposing the master knot of Henry. The FDL and FHL tendon was then
approximately lengthened at the distal aspect.
Attention was then turned to the posterior medial aspect of the ankle. An incision was made. FDL was dissected from its tendon sheath and then retrieved through this incision and tunneled subcutaneously to the medial border of the calcaneus where a 5-mm
drill hole was used to drill transcalcaneally. The FDL was placed into this
tunnel and secured using a 7 x 25 mm Milagro bioabsorbable screw from DePuy
system.
Attention was then turned to the dorsal aspect of the foot. Anterior
dorsal medial incision was made. The tibialis anterior tendon was identified.
The lateral half was harvested. Through incision proximally, the lateral
half of the tibialis anterior tendon was fished out through the proximal
aspect of the incision and tunneled subcutaneously to the lateral border of
the foot. A small incision was made over the cuboid. The tunnel was drilled
from the cuboid laterally to medially. Anterior tibialis tendon was then
passed into this tunnel and secured using a 7 x 25 Milagro bioabsorbable
screw. This allowed correction of the foot from equinovarus into plantigrade
position.
Attention was then turned to the individual's lesser toe flexors
and then _____ stab wounds plantarly.
Thanks for any help you can give me.