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Perc. screw fixation of lat malleolar fx

  1. #1
    Default Perc. screw fixation of lat malleolar fx
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    Is there any specific CPT code for percut. screw fixation of lat malleolar fx? The CPT manual offers codes for only closed and open treatments.

    Thanks!

  2. #2
    Default perc screw fixation
    Quote Originally Posted by Partha View Post
    Is there any specific CPT code for percut. screw fixation of lat malleolar fx? The CPT manual offers codes for only closed and open treatments.

    Thanks!
    Here's the lay description of percutaneous screw fixation:

    Percutaneous skeletal fixation is fracture treatment which can apply to either open (compound) or closed fractures or joint injuries (dislocations). In this procedure, the fracture fragments are not visualized, but fixation (e.g., pins) is placed across the fracture site, usually performed under x-ray imaging.

    Percutaneous pinning involves the placement of pins (e.g., Steinmann) through the skin and into a fractured bone. Direct exposure of the fracture is not required. This type of pinning is most likely performed on non-displaced fractures or a closed reduction has already been performed.

    So, what I have seen is no, there is no specific code.
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

  3. #3
    Default
    Quote Originally Posted by Anna Weaver View Post
    Here's the lay description of percutaneous screw fixation:

    Percutaneous skeletal fixation is fracture treatment which can apply to either open (compound) or closed fractures or joint injuries (dislocations). In this procedure, the fracture fragments are not visualized, but fixation (e.g., pins) is placed across the fracture site, usually performed under x-ray imaging.

    Percutaneous pinning involves the placement of pins (e.g., Steinmann) through the skin and into a fractured bone. Direct exposure of the fracture is not required. This type of pinning is most likely performed on non-displaced fractures or a closed reduction has already been performed.

    So, what I have seen is no, there is no specific code.
    Means you are suggesting unlisted CPT to be used...

  4. Default
    yes, I would go w/ 27899

  5. #5
    Default perc screw fixation
    Not necessarily an unlisted code. Would have to look closer at this, but just taking through 3M it codes to a regular fracture care code. Not sure I agree with that completely as it seems to be an internal fixation. As, I said, would have to look closer. any body else have any thoughts?
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

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