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Thread: Ankle Surgery Help

  1. #1

    Default Ankle Surgery Help

    AAPC: Back to School
    Doctor wants to charge for I&D of medial side of ankle and ORIF of lateral side of ankle. would the I&D be included in the ORIF? If not, what code would you use for the I&D. I have CPT 27848 for the ORIF. Thanks in advance for your help!

    Grade 1 open ankle fracture dislocation, left ankle.

    1. Irrigation and debridement of the medial-sided open soft
    tissue wound.
    2. Open reduction and internal fixation of fracture dislocation
    of ankle with plating of lateral fibular fracture.

  2. #2


    Look at 1101x, depending on the depth of the debridement. I did not see that the 1101x codes were bundled with 27848 in the NCCI edits.

  3. #3


    I agree with Mojo--depending upon depth.


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