Surgery: Musculoskeletal System [(Q&A)] (March 2014)

March 2014 page 13b Surgery: Musculoskeletal System Question: Radiofrequency technology is used to treat chronic hip pain by denervating the femoral and obturator nerves through the creation of a neuroablative lesion by heating the tissue above 60 degrees Celsius. Under fluoroscopic guidance, a radiofrequency probe is inserted percutaneously, and after performing a motor stimulation, denervation of the articular branch of the femoral nerve is performed. Using a separate insertion, denervation of the articular branch of the obturator nerve is then performed. Is code 27035, Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves, the...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This March 2014 CPT Assistant Q&A page covers musculoskeletal surgery coding topics across several anatomic sites. It is relevant for coders and billers who work with CPT-based procedure reporting, especially when comparing open versus percutaneous services, unlisted procedure reporting, and repair categories discussed in the article.

Why This Topic Matters

The article helps readers identify which CPT approach applies to specific musculoskeletal operative scenarios and highlights when a more general code or an unlisted service report may be involved. It is useful for accurate claim preparation and for understanding how the article distinguishes among procedure categories in orthopedics and related surgical services.

Article Sections

  1. Hip denervation coding question

    Discusses coding of a hip pain procedure involving radiofrequency technology and nerve denervation in a musculoskeletal context.

  2. First rib resection and scalene muscle division

    Addresses a coding question involving rib excision and associated soft-tissue work in the thoracic outlet region.

  3. Brostrom-Gould ankle ligament repair

    Reviews a question about ankle ligament repair terminology and related CPT reporting for ligament repair scenarios.

What You Will Learn

  • How the article frames CPT questions for musculoskeletal surgery procedures
  • What general coding issues are discussed for hip, rib, and ankle operations
  • How the article handles questions involving open, percutaneous, and unlisted procedure reporting
  • How the article distinguishes among categories of ligament repair reporting

Who Should Read This

  • Medical coders
  • CPT coding professionals
  • Orthopedic surgery billing staff
  • Revenue cycle and compliance teams

Codes Discussed


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