ORIF distal tib/fib

dbellemore

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Dr. did ORIF on seriously comminuted tib fx and ORIF of distal fibula. He wants to charge 2 seperate codes due to the severity of the case. He has chosen 27827 for the tibia. The fibula would be the 27826. I think we should use the 27828 with the 22 modifier at a 15% charge increase. Can you share your thoughts on this?
 

colham478

Networker
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Perrysburg, OH
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I agree with the 27828-22. Using the seperate codes will probably get you a headache of a denial as the 27828 covers both of the other codes. 27828 w/ 22 will get better reimbursment and won't be kicked out by edits. :)
 
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