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Thread: Ertl procedure - looking for a possible cpt code

  1. #1

    Default Ertl procedure - looking for a possible cpt code

    Promo: Code Books
    looking for a possible cpt code that links to this procedure??? Thank You!

  2. #2

    Default ERTL cpt??

    Have you been able to find a "comparible" CPT for this procedure? I've come up w/ 27899 but if you have any other ideas, PLEASE share!!!!

  3. #3

    Default ERTL Codes

    I found the following in Dr. C. Attinger's article published in PRS Feb 2013.
    Dr. Janevicius does the coding and is writes most of our society articles on correct coding:

    CODING PERSPECTIVE
    This information prepared by Dr. Raymond
    Janevicius is intended to provide coding
    guidance.
    15738 Vascularized bone graft
    27880-51 Below-knee amputation
    27758-51 Skeletal fixation
    • The vascularized bone graft is an axial pattern
    flap, based on the peroneal vessels. It
    is reported with code 15738.
    • The skeletal fixation is not included in the
    global code 15738 and is separately reported
    with code 27758.
    • A below-knee amputation is reported with
    code 27880, which includes soft-tissue closure.
    Although the term “posterior flap”
    may be used clinically, this is not reported
    as an adjacent tissue transfer (code 14021)
    or myocutaneous flap (code 15738), as this
    is considered part of the soft-tissue closure
    for the amputation.

    Vineet Mehan
    Plastic Surgery

  4. #4
    Join Date
    Apr 2007
    Location
    Sacramento
    Posts
    20

    Default Ertl Procedure

    ERYTL PROCEDURE


    AS PRIMARY PROCEDURE:


    27880 Amputation leg through tibia and fibula
    27715 Osteoplasty, tibia and fibula
    27725 Repair of nonunion or malunion by synostosis with fibula any method




    AS SECONDARY PROCEDURE


    27886 Reamputation leg through tibia and fibula
    27715 Osteoplasty, tibia and fibula
    27725 Repair of nonunion or malunion by synostosis with fibula any method
    64784 Excision of major peripheral nerve, except sciatic
    64787 Reimplantation of nerve end into bone or muscle

    This was obtained through a physician at Enloe Medical Center in Chico, CA Orthopedics Dept.
    Debbie Kline, CPC, CMA
    Business Office Administrator
    North Valley Orthopedics
    Yuba City, CA

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