Wiki Percutaneous pinning of triplane fracture-ankle

[RebeccaMoney]

My doctor gave me CPT 27828 only. That code is for a open treatment of weight bearing articular surface of both tibia and fibula. I've included the op note in hopes that someone can help me with this. I'm also seeing a AITF ligament repair which I was thinking 27698. Can anyone please help?
Thank you,

 

[Orthocoderpgu]

Reduction of the distal tibia fracture was accomplished with two procedures. One was perc, but the other was open. I would say that 27287 would be appropriate for the distal tibia reduction. I would also code the collateral ligament repair. Code 27698 would only be used if it were a secondary repair. Most of the time when you see that an external fixator is used. Since an external fixator was not used, this is most likely a primary repair: 27695.

 

[RebeccaMoney]

Reduction of the distal tibia fracture was accomplished with two procedures. One was perc, but the other was open. I would say that 27287 would be appropriate for the distal tibia reduction. I would also code the collateral ligament repair. Code 27698 would only be used if it were a secondary repair. Most of the time when you see that an external fixator is used. Since an external fixator was not used, this is most likely a primary repair: 27695.

Thank you