Could someone please advise me on this? I have been billing the 27829 for the syndesmosis repair as well as the ORIF of whichever bone is fractured as long as the syndesmosis screws are not inserted through the plate used for the ORIF. Another coder has told me that that is incorrect and that the physician has to make a separate incision for the syndemosis repair in order to bill for it. Could someone else please advise and send thier reference material? Thank you!!!!!