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Tibial Tubercle Fracture

  1. #1
    Location
    NEW ORLEANS
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    954
    Default Tibial Tubercle Fracture
    Medical Coding Books
    Anyone heard of ORIF of tibial tuberclec avulsion ? CPT CODE 27540?

  2. #2
    Location
    ENGLEWOOD/DENVER
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    2,338
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    hi trent,
    can you post the note? I am leaning more towards tibial tubercle but before I respond definitively I would need to see it.
    thanks
    Mary

  3. #3
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    avulsion fractures of the tibial tubercle, 27540 looks to be a good code for the ORIF of it.
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  4. #4
    Location
    NEW ORLEANS
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    954
    Default scrub version
    Patient was taken to operating room. after general anesthesia the incision was made begining in the inferior pole of patella and carried down over the tibial tubercle. Dissection proceeded down sharply subcutaneous tissue. An arthrotomy was peformed and inferior portion of the fat pad was removed to visualize the intraarticular extension of the fracture. The fracture fragments were cleaned of hematoma and copiously irrgated with a pulse evac system. Fragments were then manipulated into a reduced position and heldinto position with an alevator, while a guidewire for the 5.0 cancellous screws were placed , one distally going across the distal epiphseal plateinto the metaphyseal area. 2 screw and washers of appropriate length were used to secure fracture. The inferior portion of patella tendon was reiforced with 0 ethibond suture. THE arthrotomy incision was closed with 0 vicryl. Sub cutaneous tisue closed with 2-0 vicryl

  5. #5
    Location
    ENGLEWOOD/DENVER
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    2,338
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    27540 looks like it will work dont for get your
    C1713 & L8699 (since I know you code for an ASC)


    Mary

  6. #6
    Location
    NEW ORLEANS
    Posts
    954
    Default
    thank you Mary & Donna

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