Results 1 to 3 of 3

Question on Orthopedic Surgical Coding

  1. #1
    Default Question on Orthopedic Surgical Coding
    New Call-to-action
    A physician coded a surgery: 27680 and 27658. It appears from all of the coding guidelines that 27680 is a column code for 27658, and modifier 59 should be added to 27680. The RVUs are higher for 27658. What is the correct coding order for this surgery?

  2. Default Question on Orthopedic Surgical Coding
    According to AAOS, 27680 is considered part of 27658 assuming it is for the same tendon. If not and it is separate tendons, then 27658 and then 27680-59. This is true with almost all tenolysis and tendon repair codes.

  3. #3
    I agree, 27658 includes 27680 so you will want to bill this one only. You can only bill both if it's a separate encounter, provider, structure, or they are non-overlapping services. If each of the two procedures were performed on different sides of the body then you would append modifier XS and bill both. Hope this helps!

Similar Threads

  1. Coding Quiz Question for Succss in COding for Orthopedic Complications 3/2018
    By spuralewski in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-04-2018, 09:03 AM
  2. Orthopedic Remote Surgical Coder
    By Lindseywingate1990 in forum Resume Postings
    Replies: 1
    Last Post: 01-07-2015, 07:56 PM
  3. Orthopedic Coding Question
    By in forum Diagnosis Coding
    Replies: 0
    Last Post: 02-05-2014, 07:11 AM
  4. orthopedic coding question
    By Kristene in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-11-2009, 07:22 AM

Tags for this Thread

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?


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.