Results 1 to 9 of 9

Quad tendon repair

  1. #1
    Default Quad tendon repair
    Medical Coding Books
    Wondering what CPT anyone uses for Quad Tendon Repair?

  2. Default
    I think your going to have to go with unlisted on that one. 27599

  3. #3
    The quad tendon attaches to the patella at one end and the other attaches to quad muscle. Where was the repair?

    Look at 27385
    Mary, CPC, CANPC, COSC

  4. #4
    "An anterior approach was undertaken of the knee through the old scar. Upon entering, we noted that the quadriceps tendon seemed to be ruptured. There was a clear opening right into the joint superior pole notch just retinacular. The quadriceps tendon had not retracted"
    27385 states 'muscle' rupture. Can it be used for a tendon also?

  5. #5
    unfortunately that note doesnt really say where it was torn. I would query the surgeon to find out if it was at the muscle attachment or not. If its at the muscle attachment, I would use the 27385, if not then I would use 27664.
    Mary, CPC, CANPC, COSC

  6. #6
    Thank you for your help! I'm looking in the right direction now

  7. #7
    This question was on the Orthopedic Practicum for the COSC exam, and the answer was 27664.

  8. #8
    How can you use 27664? That is under the section for Leg (Tibia and Fibula) and Ankle Joint. A torn quadriceps tendon extends in the femur portion of the leg to the patella. Wrong body part! I go with the unlisted.

  9. #9
    Quote Originally Posted by tincyr View Post
    How can you use 27664? That is under the section for Leg (Tibia and Fibula) and Ankle Joint. A torn quadriceps tendon extends in the femur portion of the leg to the patella. Wrong body part! I go with the unlisted.
    Actually---if you read the lay description in the coder's desk reference, it states the following:
    The physician makes a midline, longitudinal incision to expose the damaged extensor tendon in the leg. The surgical site is irrigated and the torn ends of the tendon are realigned to provide for better attachment and brought together and sutured. The tendon may be attached to the retinaculum around the knee. If the repair is secondary, significant scar tissue may be debrided, and a graft may be necessary. Any nonviable tissue is also removed. The physician repairs the tendon with sutures or by placing a graft and suturing. The graft may be secured to the area of repair with a screw. The physician irrigates the wound with antibiotic solution. The wound is closed in layers. A cast or splint may be applied. Primary repair is done immediately after injury. Secondary repair is done sometime after the incident of injury or following a previous surgical repair. Report 27664 for a primary repair without graft and 27665 for a secondary repair, with or without a graft.
    Mary, CPC, CANPC, COSC

Similar Threads

  1. Repair Extensor tendon sagittal band rupture left long finger extensor tendon split t
    By hudsondna in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-11-2015, 10:40 AM
  2. Tibial tendon repair,peroneal tendon allograft
    By TSuarez in forum Orthopaedics
    Replies: 0
    Last Post: 09-12-2012, 10:56 AM
  3. Repair medial retinacular & quad tendon
    By nabernhardt in forum Orthopaedics
    Replies: 2
    Last Post: 04-30-2012, 09:29 PM
  4. Open wound/laceration repair with a tendon repair
    By twosmek in forum Orthopaedics
    Replies: 1
    Last Post: 04-19-2011, 12:35 PM
  5. Replies: 2
    Last Post: 12-17-2009, 02:42 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?


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.