Results 1 to 3 of 3

Tibial plafond fx

  1. Default Tibial plafond fx
    Medical Coding Books
    Dr. performed an ORIF of the distal tibial pilon fx. During the procedure he also repaired the medial malleolus and medial aspect of the tibia were fixed.

    Same incision.

    Is this all included with 27827?

    Thank you!!

    Beckie

  2. #2
    Default
    Did you ever resolve this CPT issue?

    Peace
    ?_?

  3. Default
    The direct answer to your question is yes, fixation of the medial malleolus is included in the code 27827. Tibial plafond fractures are usually rather severe fractures of the distal tibia which affect the weight bearing area of the tibia into the ankle joint, and a part/element of this fracture is/includes the medial malleolus, which may be a fragment of variable size. Depending on its size and displacement/instability, it may require specific surgical attention to fixate it in place, in addition to the rest of the fracture fragments over the top of the ankle joint.
    As for 27826, the tibia and fibula are both fractured, but only the fibula is surgically fixated, which seems a bit bizarre, but the tibial fracture may be so severe that there is no good way of repairing/fixating it surgically, and often/usually an External Fixator is placed on the tibia to distract and align the tibial portion, and the fibula is fixated to help align and further stabilize the ankle region.
    If both are operated upon and fixated, then 27828 applies.

    I hope this helps.

    Respectfully submitted, Alan Pechacek, M.D.

Similar Threads

  1. Tibial Plafond Fracture
    By adricpc in forum Orthopaedics
    Replies: 2
    Last Post: 01-31-2018, 04:08 PM
  2. tibial metaphysis
    By CoderIIBrenda in forum Orthopaedics
    Replies: 0
    Last Post: 05-13-2015, 09:55 AM
  3. Replies: 2
    Last Post: 10-17-2012, 04:02 PM
  4. Tibial tubercle
    By primrose1 in forum Orthopaedics
    Replies: 1
    Last Post: 02-08-2012, 09:23 AM
  5. tibial torsion
    By PLAIDMAN in forum Orthopaedics
    Replies: 1
    Last Post: 08-31-2011, 12:55 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?

Login

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.