AAPC - August DL Sale: 50% OFF
Results 1 to 3 of 3

Thread: tear of peroneus brevis tendon

  1. #1

    Default tear of peroneus brevis tendon

    AAPC: CPC Promo
    A patient has a longitudianl split tear of the peroneus brevis tendon of the left lower extremity. The physician performed a debridement and primary repair of peroneus brevis tendon. The physician is looking at code 27664 and I'm thinking 28208. The tear is on the outside of the patient's foot not quite up to the ankle. Here's the main part of the sx notes:

    A hockey stick incision was made posterior & inferior to the level of the fibula & tibial malleolus distally. The incision was deepened through skin and subcutaneous tissue with care being taken to identify and retract vital neurovascular structures. The tendon sheath was identified & incised at the level of the peroneal tendons. The tendon sheath was completely opened within the the full extent of the surgical wound. The peroneus longus tendon was identified & evaluated & noted to have no direct injury or split tear presen. The peroneus brevis tendon was identified & noted to have a 6 cm longitudinal split tear with additional areas of fragmentation. All these areas were debrided and freed, and these sections of nonviable tendon were sent from the operating table for specimen and pathological evaluation. At this time the tendon was reapproximated and tubularized using a 2-0 Ethibond stitch in a running locking suture technique....
    The rest of the report is closing the sx area.

  2. #2
    Join Date
    Apr 2007
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338

    Default

    I think the physician is correct. It dont believe it matters exactly where the tear is (except for dx purposes). I that since his approach is through the leg (distal tib/fib) and not the foot (unless I missed something) that the 27664 is more accurate.

  3. #3

    Default peroneus tendon repair

    Thank you. I was questioning myself on the codes so you helped a lot.

Similar Threads

  1. peroneus brevis tendon tear
    By Jamie Dezenzo in forum ICD-10
    Replies: 0
    Last Post: 10-15-2015, 10:50 AM
  2. Replies: 1
    Last Post: 11-19-2014, 02:35 PM
  3. Peroneus Brevis Tendon Repair
    By cwilson3333 in forum Orthopaedics
    Replies: 0
    Last Post: 02-10-2012, 04:26 AM
  4. Replies: 3
    Last Post: 06-20-2011, 12:20 PM
  5. Peroneus Brevis Tendon Ankle Reconstruction
    By orthopaedic01 in forum Orthopaedics
    Replies: 1
    Last Post: 04-22-2009, 01:30 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.