Orif chondral fracture femoral trochlea

cwilson3333

Expert
Messages
279
Location
Hamilton, VA
Best answers
0
Can someone tell if the correct code for this procedure is 27514?

Procedure is scheduled as outpatient, but insurance [Tricare] said it must be done
as inpatient.

Please let me hear from someone if this is indeed the correct procedure?

Thanks for any help,

CW
 

armen

Guest
Messages
335
Location
Atlanta
Best answers
0
Can someone tell if the correct code for this procedure is 27514?

Procedure is scheduled as outpatient, but insurance [Tricare] said it must be done
as inpatient.

Please let me hear from someone if this is indeed the correct procedure?

Thanks for any help,

CW

The code you specified is an inpatient code per Medicare. Another problem is that this code is for medial or lateral condyle and not for trochlea. I could not find a code for this procedure. Maybe because "Isolated trochlear chondral fractures of the knee are extremely uncommon, especially in the adolescent population" J.Orthopaedics 2009;6(4)e2

Maybe 27599 Unlisted procedure, femur or knee is the answer in this case.

Would love to see what others think about this.
 
Last edited:
Top