AMA CPT® Assistant - 2010 Issue 2 (February)
Surgery: Musculoskeletal System (Q&A) (February 2010)
February 2010 page 13a Surgery: Musculoskeletal System (Q&A) Question: An orthopaedic surgeon performs a “Fulkerson procedure.” May code 27418 be reported? Answer: Yes. Code 27418 , Anterior tibial tubercleplasty (eg, Maquet type procedure) may be reported with the Modifier 22, Increased procedural services. Modifier 22 is used to reflect the additional procedural work involved with the Fulkerson procedure, compared to the Maquet technique. While both procedures involve elevating the tubercle, the Maquet retains the distal part of the tubercle intact, which is then bent upward. The Fulkerson detaches the tubercle, moves it medially and elevates it. Question:...
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Article Overview
This article is a short musculoskeletal surgery Q&A focused on CPT reporting questions from February 2010. It explains the general reporting context for an orthopaedic knee procedure and an unlisted spine procedure, and it is useful for coders, orthopaedic practices, and billing staff looking for guidance on whether an existing CPT code or an unlisted procedure code is referenced in the article.
Why This Topic Matters
It helps readers identify whether the article addresses a specific musculoskeletal procedure and how the discussion is framed within CPT coding guidance from CPT Assistant.
What You Will Learn
- Which musculoskeletal surgery topics are discussed in this Q&A article
- How the article frames reporting questions for an orthopaedic knee procedure and a spine procedure
- What general CPT coding categories are referenced in the discussion
- How the article is organized as a brief Q&A format from February 2010
Who Should Read This
- Certified professional coders
- Orthopaedic surgery practices
- Billing and reimbursement staff
- Clinical documentation specialists
Codes Discussed
Modifiers Discussed
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