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Thread: 27228 orif t-shaped acetabular fx w/2 approaches

  1. #1
    Join Date
    Apr 2007
    Bossier City, Louisiana

    Default 27228 orif t-shaped acetabular fx w/2 approaches

    AAPC: Back to School
    Need coding suggestions for T-shaped acetabular fracture-dislocation with two different approaches.
    Question: Just the 1 code?
    27228-orif involving anterior & posterior (two) columns includes T-fracture & both column fx with complete articular detachment,or single column or transverse fracture with associated acetabular wall fracture with internal fixation
    Dr fixed via an ilioinguinal and a Kocher Langenbeck approach.
    X-rays & CT scans of the acetabulum, revealing a severey comminuted T-shaped acetabular fracture-dislocation with a posterior dislocation of the hip.

    The transverse portion of the fx was identified in the anterior column.
    ...The large posterior wall fragments were then pieced back together and reduced with the aid of ball spike pushers....hardware placed..verifying good reduction of the posterior wall and adequate placement of the plate.

  2. #2
    Join Date
    Apr 2007
    Greater Pittsburgh


    yes, one code 27228 an anterior and then the posterior incision are each covered under this code.
    jdemar, CPC, CMA

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