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Thread: Posterior tendon tear

  1. #1
    Join Date
    Apr 2007

    Default Posterior tendon tear

    AAPC: Back to School
    Patient had a open repair of left posterior tibial tendon. Diaagnosis code said it was an ankle posterior tibial tendon tear.
    DOC office book it as cpt code 28238- reconstruction , posterior tibial tendon with excsion of accesory tarasal navicular bone.
    operative report says

    A curvillinear incision was made over the posterior tibial tendon. Care was taken to protect neurocascular structures. The sheath was opened and a great deal of synovial fluid came from the tendon sheath. The patient had erythema and longitudinal tears at the level of the medial malleolus. A curette was used to scrape the intratendinous inflammation. Synovectomy was performed. A 2-0 Herculon suture was used and weaved in interrupted fashion up and down the posterior tibiial tendon, and 5-0 vicryl tidy stitch was used to smooth the longitudinal pairs opening. a good repair was obtained. The wound was irrigatedand tourniquet was released. This is most of the operative report--besides the closures- bad typing on my half

    Now I dont see anywhere where an excision of tarsal navicular bone was done, but I cant find a cpt code for this procedure, besides what DOC ooffice gave me . Any ideas ?

  2. #2


    I cant tell by this note but look at the 27691.

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