AMA CPT® Assistant - 2018 Issue 11 (November)

Surgery: Musculoskeletal System (Q&A) (November 2018)

November 2018 page 11 Surgery: Musculoskeletal System Question: A surgeon performs a primary repair of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) through the same incision. Is it appropriate to report this procedure with code 27695 ×1 or code 27695 ×2? Answer: No, Current Procedural Terminology (CPT®) code 27695, Repair, primary, disrupted ligament, ankle; collateral, should not be reported for the services described. Rather, one unit of code 27696, Repair, primary, disrupted ligament, ankle; both collateral ligaments, should be reported. Surgery: Musculoskeletal System. CPT® Assistant. 2018; November 2018 page 11 ...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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