AAPC - Back to school
Results 1 to 4 of 4

Thread: Perc. repair Achilles tendon w/PRP

  1. #1

    Default Perc. repair Achilles tendon w/PRP

    AAPC: Back to School
    I don't actually see a "repair" here, only PRP...am I missing something? Wondering if I can bill this as a tenotomy because he barbotaged the tendon (27606) or if I am just stuck with 0232T?

    The patient was positioned supine and sterilely prepped and draped after application of non-sterile tourniquet. Time out was then used to confirm the correct side, site, and procedure. At this point the patient had 10 mL of blood drawn. This was spun down on the centrifuge. At this time, the patient then had an 18 gauge spinal needle introduced into the tendon from medial approach. This was used to barbotage the tendon, and then subsequently to inject 4mL of PRP into the body of the tendon distally, approximately 1 cm from the insertion. At this time the patient's wound was then covered and sterilely dressed, and the drapes were taken down. LMA was removed and the patient was them awakened and taken to recovery in stable, satisfactory condition.

    Kara Hawes, CPC

  2. #2
    Join Date
    Apr 2007
    Columbus, OH


    Which body part are we talking about?
    Kathy Daniel, CPC, COSC

  3. #3


    The Achilles tendon insertion...the doc wanted to bill percutaneous repair of Achilles, but I'm thinking it's actually just 0232T. Any thoughts are greatly appreciated.

    Kara Hawes, CPC

  4. #4
    Join Date
    Apr 2007
    Columbus, OH


    Wikipedia: Barbotage is a medical procedure that involves the repeated injection and aspiration of a fluid.

    20605 & 0232T?


    27899 (unlisted procedure, leg or ankle) & 0232T?
    Kathy Daniel, CPC, COSC

Similar Threads

  1. Achilles Tendon Repair 27650-4
    By Melissa1987 in forum Podiatry
    Replies: 1
    Last Post: 12-15-2015, 04:20 PM
  2. Achilles tendon repair??
    By richelle25 in forum Orthopaedics
    Replies: 2
    Last Post: 09-29-2011, 02:18 PM
  3. achilles tendon repair?
    By BFAITHFUL in forum Orthopaedics
    Replies: 6
    Last Post: 12-08-2010, 05:31 AM
  4. achilles tendon repair with graft jacket
    By steps2codes in forum Orthopaedics
    Replies: 2
    Last Post: 11-19-2008, 04:32 PM
  5. Debridement achilles tendon/repair
    By seslinger in forum Orthopaedics
    Replies: 4
    Last Post: 10-29-2008, 01:42 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.