Wiki Removal of loose body

[lannee35]

Physician repairs lateral malleolus fx by performing ORIF (27792)
Also, repairs syndesmosis disruption (27829)
Finally, repair secondary collateral ligament (27695)

I just want to confirm that billing for removal of loose bodies would be bundled into the fx repair code correct? This is not something billed separately?

 

[b_rodgers]

I see that this post is relatively dated, but I would not bill the removal of loose bodies, that would be included in the repairs.

 

[Mali0114]

Billing 27792 with 27829

I have an Op report that states "the fracture was exposed by sharp dissection and reduced manually." Later it states a plate was then applied to the posterolateral edge of the fibula and fixed with 5 cortical screws. Then goes on to state that the anterior tibiofibular syndesmosis as fixed with a syndesmotic screw through the semitubular plate.
Another staff member believes that we should bill for the 27792 in addition to the 27829.
It seems to me that the description of 27792 is included in CPT code 27829. Any insight is appreciated.

 

[melissaaos]

Our surgeon was removing a fragment in addition to performing a Brostrom on a patient with a prior ankle avulsion fracture that went on to non-union. Would CPT 27792 be appropriate for the avulsed fibula? modifier 22 for extra effort on loose body? Thanks for the feedback.