AMA CPT® Assistant - 2009 Issue 4 (April)

Surgery/Musculoskeletal System (April 2009)

April 2009 page 8d Surgery: Musculoskeletal, 27726, modifier 22 (Q&A) Question: A lateral malleolus fracture nonunion is repaired via an open approach with internal fixation. Would it be appropriate to report CPT code 27726, Repair of fibula nonunion and/or malunion with internal fixation, even though the code does not read malleolus? Or should CPT code 27792, Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed, be used instead with modifier 22 to reflect the additional work required to repair the nonunion? Answer: It would be appropriate to report CPT code 27726 for this procedure...

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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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