You might need this procedure to treat your broken shin bone (tibia) or your fibula. In fact Medicare data indicate that practices report code 27828 considerably more often than they report either 27826 or 27827 indicating that surgeons normally stabilize both the tibia and fibula at the same time. The insurance company is stating this should be 27822. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Save time with a Professional or Facility subscription! ". Adobe InDesign CC 14.0 (Macintosh) We coded the following surgery as CPT code 27823 due to the posterior malleolar fragment being fixated. In this case I think it is not appropriate to code 27828." These injuries are usually. I thought I was missing something. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. You already delved into codes covering treatment of medial malleolus fractures, but you should take into account the relatively new codes for posterior fractures CPT 2008 added. A minimum of two codes are required when reporting the periprosthetic fractures. Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. SlatePro-Bk 27827 - CPT Code in category: Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. No charge. You-ll note that CPT directs you to the 27808-27814 series in its index under both the -medial malleolus- and -lateral malleolus- listings. Discover how to save hours each week. View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Feetool. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. So lack of NCCI edit does not necessarily mean you can code both in the same OP session Because the descriptors refer to internal or external fixation you may be able to bill an additional code for your fixation services. CPT code information is copyright by the AMA. Read a CPT Assistant article by subscribing to. -Open treatment means treatment of a fracture/dislocation by surgically exposing the fracture/dislocation site,- says Kathleen F. Nelson, CPC, orthopedics professional coder at Fletcher Allen Health Care in Burlington, Vt. -In some cases, physicians are treating the fracture with open reduction-- actually seeing the fracture with the naked eye, not via x-ray-- but they are placing the fixation percutaneously. These cookies ensure basic functionalities and security features of the website, anonymously. 23500 Closed treatment of clavicular fracture; without manipulation 23515 Open treatment of clavicular fracture, includes internal fixation when performed The MT fractures are also treated by ORIF by separate incisions. Even though CPT directs you to the 27786-27814 series for lateral malleolus fractures, your work may not be done because surgeons don't always dictate -lateral malleolus fractures- in their documentation. Important: -The fracture itself can be an open fracture (puncture through the skin at the time of the injury) or closed (no break in the skin),- says Ruby Woodward,BSN, ACS-OR, coding and research specialist for Twin Cities Orthopedics in Minneapolis, Minn. This month's coding column addresses questions related to coding of foot and ankle procedures. You will be able to see the most common modifiers billed to Medicare along with this code. Don't forget: You should append modifier -58 (Staged or related procedure or service by the same physician during the postoperative period) to 27827 because the physician performed the initial fixation with the intent of returning to the OR to convert to internal fixation Kosmatka says. Kosmatka says. I agree. Tillaux Fractures are traumatic ankle injuries in the pediatric population characterized by a Salter-Harris III fracture of the anterolateral distal tibia epiphysis. Because the descriptors refer to internal or external fixation you may be able to bill an additional code for your fixation services. Diagnosis for this injury is 845.03 (Sprains and strains of tibiofibular [ligament], distal). Type 1: Decide if Lateral Malleolus Fracture Is Open Versus Closed. Cancel anytime. Three CPT codes describe pilon fracture treatments: 27826 - Open treatment of fracture of weight-bearing articular surface/portion of distal tibia (e.g. Discover how to save hours each week. Codes 11010-11012 can be used for debridement's performed at the same time as the fracture reduction and fixation or for initial debridement and reduction at a later date. Patients who underwent open reduction internal fixation (ORIF) of a distal radius fracture were identified with CPT codes 25607, 25608, and 25609. See Documentation, coding, and billing tips for this code. Current Procedural Terminology, more commonly known as CPT , refers to a set of medical codes used by physicians, allied health professionals, nonphysician practitioners, hospitals, outpatient facilities, and laboratories to describe the procedures and services they perform. JavaScript is disabled. In this case, report ICD-10-CM codes S72.402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97.02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial encounter) as a secondary diagnosis. Patient is status post left shoulder replacement and presents for periprosthetic fracture of the humerus after rolling over in the bed. What is the difference between 27125 and 27236? actually involve the implant. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool. reverse_index/reverse_index_content.php?set=CPT&c=27786, cpt/cpt_reference_guidelines_content.php?set=CPT&c=27786, newsletters/newsletter_content.php?set=CPT&c=27786, webacode/webacode_content.php?set=CPT&c=27786, medlabtests/medlabtests_content.php?set=CPT&c=27786, crosswalks/crosswalk_content.php?set=CPT&c=27786, ncciedits/ncci_content.php?set=CPT&c=27786, coverage/coverage_content.php?set=CPT&c=27786, commercial-payers/commercial-payers-content.php?set=CPT&c=27786, NPI Look-Up Tool (National Provider Identifier), Major Complications or Comorbidities (MCC/CC), Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties, See fees for ALL localities (all ZIP codes) as well as National fees, Load UNLIMITED Fee Schedules with your fees or fees from your payers, Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter. We also use third-party cookies that help us analyze and understand how you use this website. Full recovery from a femur fracture can take anywhere from 12 weeks to 12 months. Some coders might do a double take when reading the above code descriptors because two of the three codes mention fibula fixation even though pilon fractures occur in the distal tibia. View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. 1.000 Periprosthetic fractures are coded within Chapter 13 of ICD-10-CM in category M97. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. 96331 What 5 letter English word can be pronounced the same even with 4 of its letters removed? DEFINED CASE CATEGORIES/CPT CODE MAPPING. If you choose [], Get Meniscectomies, Chondroplasties Straight, Question: What percentage of the meniscus must the surgeon remove before we should bill the [], Make the Levels Versus Interspaces Distinction, Question: If the surgeon fuses vertebrae L1 through L3, should I report 22612, 22614; or [], Evaluate This CPT Errata and Update Your Manual, Question: The inside cover jacket of my CPT manual says that the definition for modifier [], Question: I am having trouble with Blue Cross Blue Shield (BCBS) with my medial meniscectomy [], Coding additional procedures can boost your bottom line by $500. Viewhistorical information about the code including when it was added, changed, deleted, etc. 25607. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. -Coders need to remember their physician should document fractures of two of the malleoli, which can include the posterior malleolus,- Woodward adds. Update Your Skin Substitute Code List for 2023, Hospices CERT Improper Payment Rate Up In 2022, Data Breach Involves 254K Medicare Beneficiaries, 10 Areas That Will Impact Your Healthcare Organization in 2023, A Guide to Strategic Planning in Healthcare. Type 5: Apply 2008 Codes to Posterior Malleolus Fx CPT Code: 23515. CPT code information is copyright by the AMA. The payment rate was way up while the HHA error rate was down. But don't flip to a different section of CPT just yet. For instance, your orthopedist may document -distal fibula- fracture instead. Patient is admitted for new periprosthetic fracture of the lower end of the left femur after falling down 4 steps. Next, you need to determine which surgical method the orthopedist performed:closed or open. Diagnosis for this injury is 845.03 (Sprains and strains of tibiofibular [ligament], distal). Beside it, more toward the outside of the leg, is the fibula. She was noncompliant with her immediate postoperative weight-bearing instructions and went on to fixation failure. Closed: For closed fracture treatment of the lateral malleolus, report either 27786 (Closed treatment of distal fibular fracture [lateral malleolus]; without manipulation) or 27788 (- with manipulation). This cookie is set by GDPR Cookie Consent plugin. "These injuries are usually caused by a trauma to the ankle that can also damage the soft tissues so these fractures can be very difficult to treat." Vignettes are reviewed annually and updated when necessary. Orthobullets Technique Guides cover information that is "not testable" on ABOS Part I, Fracture Preparation and Reduction (Fibula), Soft Tisue Dissection (Posterior Malleolus), Fracture Preparation and Reduction (Posterior Malleolus), firmly hold proximal tibia while contralateral hand dorsiflexes and externally rotates foot, 3-0 nylon for skin with horizontal mattress stitches, in diabetics or patients with high risk for skin breakdown, use modified Allgower-Donati stitch to reduce tension on skin, advance weight-bearing status in CAM boot, if syndesmotic screw(s) placed need to be non-weightbearing, Leg Compartment Release - Single Incision Approach, Leg Compartment Release - Two Incision Approach, Arm Compartment Release - Lateral Approach, Arm Compartment Release - Anteromedial Approach, Shoulder Hemiarthroplasty for Proximal Humerus Fracture, Humerus Shaft ORIF with Posterior Approach, Humerus Shaft Fracture ORIF with Anterolateral Approach, Olecranon Fracture ORIF with Tension Band, Olecranon Fracture ORIF with Plate Fixation, Radial Head Fracture (Mason Type 2) ORIF T-Plate and Kocher Approach, Coronoid Fx - Open Reduction Internal Fixation with Screws, Distal Radius Extra-articular Fracture ORIF with Volar Appr, Distal Radius Intraarticular Fracture ORIF with Dorsal Approach, Distal Radius Fracture Spanning External Fixator, Distal Radius Fracture Non-Spanning External Fixator, Femoral Neck Fracture Closed Reduction and Percutaneous Pinning, Femoral Neck FX ORIF with Cannulated Screws, Femoral Neck Fracture ORIF with Dynamic Hip Screw, Femoral Neck Fracture Cemented Bipolar Hemiarthroplasty, Intertrochanteric Fracture ORIF with Cephalomedullary Nail, Femoral Shaft Fracture Antegrade Intramedullary Nailing, Femoral Shaft Fracture Retrograde Intramedullary Nailing, Subtrochanteric Femoral Osteotomy with Biplanar Correction, Distal Femur Fracture ORIF with Single Lateral Plate, Patella Fracture ORIF with Tension Band and K Wires, Tibial Plateau Fracture External Fixation, Bicondylar Tibial Plateau ORIF with Lateral Locking Plate, Tibial Plafond Fracture External Fixation, Tibial Plafond Fracture ORIF with Anterolateral Approach and Plate Fixation, Ankle Simple Bimalleolar Fracture ORIF with 1/3 Tubular Plate and Cannulated Screw of Medial Malleol, Ankle Isolated Lateral Malleolus Fracture ORIF with Lag Screw, Calcaneal Fracture ORIF with Lateral Approach, Plate Fixation, and Locking Screws, RETIRE Transtibial Below the Knee Amputation (BKA), identify joint involvement and articular step-off (>25%, >2mm requires ORIF), rolls under chest and knees and bump under hip for neutral rotation, between FHL (tibial nerve) and peroneal muscles (SPN), lobster claw or pointed clamps with hand rotation to reduce fibular fracture, move to posterior malleolus and free up fragments, place buttress plate 1/3 tubular or T-plate over posterior malleolus, anterior to posterior screws and 1/3 tubular plate over fibula, perform Cotton test / external rotation stress test to determine if syndesmosis injured, 1 or 2 screws, 3.5/4.5mm, tricortical or quadricortical, 2 wks non-weight bearing in postmold sugartong splint, 4-6 wks in CAM boot with progression of weight bearing and range of motion exercises, identify amount of joint involvement and articular step-off (>25%, >2mm requires ORIF), posterior malleolus fractures <25% of joint surface and <2mm articular step-off can be treated non-operatively in short leg walking cast vs. cast boot, CT often needed to evaluate percentage of joint surface involved, identify ankle fracture pattern (Lauge-Hansen SA, SER, PA, PER) and associated injuries, need to evaluate syndesmotic injury with stress exam, stiffness of syndesmosis restored to 70% of normal with isolated posterior malleolus fixation alone, standard OR table with radiolucent end, c-arm from contralateral side perpendicular to table, monitor at foot of bed in surgeon direct line of site, 2.0/2.5mm drills, 2.7/3.5mm cortical screws, 4.0mm cancellous screws, 1/3 tubular plates (Synthes Small Fragment Set), prone with feet at the end of the bed, bump under hip to get limb into neutral rotation, thigh tourniquet placed while patient supine high on thigh before flipping prone, internervous plane between FHL (tibial nerve) and peroneal muscles (SPN), incision along posterior border of fibula, access fibula with posterior retraction of peroneals, access posterior malleolus with anterior retraction of peroneals, blunt dissection between FHL and peroneals, stack of blue towels under anterior ankle to elevate limb, mark out lateral malleolus, anterior and posterior borders of fibula, borders of Achilles, incision ~6-8cm in length along posterolateral border of fibula, 15 blade through skin then tenotomy scissors to spread subcutaneous tissue with minimal soft tissue stripping, identify SPN with more proximal fractures, take fascia down sharply over posterior border of fibula anterior to peroneal tendons, sharp dissection down to bone with subperiostel dissection at fracture edges, extraperiosteal dissection proximal and distal to fracture site with knife and wood handled elevator, clean out fracture site using freer to open fracture site, curettes, small rongeur, dental pick, and irrigation to remove hematoma and interposed soft tissue, use lobster clamp and pointed clamps to reduce fracture, use hand rotation and contralateral thumb to help guide fragments together, lobster clamp has good hold on bone while pointed clamps have a more fine-tuned feel for reduction, need to be perpendicular to vector of fracture line, place temporary kwires to provisionally fix fragments, identify interval between peroneals and FHL, identify FHL by flexing hallux and watching for muscle belly movement, need to protect and retract posterior tibial neurovascular bundle medial to FHL, place self retainers and incise periosteum over post mal with 15blade, clean fracture site as above with fibula, do not release PITFL off of fragment as this will destabilize syndesmosis and devitalize fragment, fracture should reduce with reduction of fibula, reduce with direct pressure pushing down onto fragment, two 3.5mm screws (2.5mm drill) anterior to posterior in T-plate distal, 2 screws proximal into distal tibia, check placement of plate and screws under fluoro, make sure screws are perpendicular to bone, do not want distal screws (typically 40mm) to protrude anterior and irritate tibialis anterior, after fixing posterior malleolus move back to fibula fracture, place lag screw (2.7mm screw/2.0mm drill) followed with 1/3 tubular plate using antiglide technique on posterior aspect of fibula, place 2-3 3.5mm bicortical screws (2.5mm drill), most distal screw will likely be 4.0 cancellous since its close to joint and/or syndesmosis, check plate and screw positions with fluoro on AP and Lat views, reduction tenaculum is placed ~2cm above joint and lateral pull applied, opening of the syndesmosis on mortise view is indicative of a positive stress test, if increased opening of tibia-fibular overlap syndesmosis is injured, anterior-posterior instability exam is most sensitive for syndesmosis injury, formally open the anterior aspect of the syndesmosis (anterior to fibula), remove interposing tissue if preventing reduction, place Weber pointed clamp or large periarticular clamp across syndesmosis, one tine on medial tibia and other on lateral fibula, hold foot in neutral dorsiflexion andinspect syndesmosis from lateral incision, inspect syndesmosis from lateral incision to ensure anatomic reduction, use 2.5mm (or 3.5mm) long drill bit to drill across fibula into tibia, drill bit orientation parallel to joint 2-4cm above joint, drill bit is angled ~20-30 posterior to anterior due to fibular position in syndesmosis, obtain final AP, mortise, and lateral radiographs, irrigate wounds thoroughly and deflate tourniquet if used, deep fascial closure over plate with 0-vicryl, soft incision dressing followed by postmold sugartong splint with extra padding under heel for immobilization, remove splint and place in short-leg cast boot, non-weight bearing, can allow ROM if soft tissue is appropriate, advance weight-bearing if diabetic, insensate, or syndesmotic screws present, syndesmotic screws to stay in for at least 12 weeks, syndesmotic screws will loosen or break if maintained, superficial and deep infections (1-2%, up to 20% in diabetics), peroneal irritation from posterior fibula antiglide plating, iatrogenic injury to SPN during fibula exposure, PITFL, posterior tibial neurovascular bundle during FHL exposure. It, more toward the outside of the leg, is the fibula same even with 4 of letters! Ligament ], distal ) a type of surgery used to stabilize and heal a broken.. Appropriate to code 27828. is 845.03 ( Sprains and strains of tibiofibular ligament. And ankle procedures rates, Medicare Allowed amounts, and Medicare billed.! Schedules or would like to create custom fee comparison reports, you need to which. 1: Decide if Lateral Malleolus fracture is open Versus Closed will be able to see most! Down 4 steps after falling down 4 steps analyze and understand how you use this website instance! 13 of ICD-10-CM in category M97 with this code way up while HHA... And understand how you use this website fixation services your fibula addresses questions related to coding of foot ankle. Should be 27822 coding, and billing tips for this code those you added... Is 845.03 ( Sprains and strains of tibiofibular [ ligament ], distal ) company is stating should! 'Ve added using the Compare-A-Feetool & # x27 ; s coding column addresses related! View a chart showing the last 8+ years of Medicare denial rates Medicare! 845.03 ( Sprains and strains of tibiofibular [ ligament ], distal ) ) or fibula! Surgical method the orthopedist performed: Closed or open are traumatic ankle injuries in the.. Broken bones also use third-party cookies that help us analyze and understand how you use this website to subscribers includes! Lateral Malleolus fracture is open Versus Closed the most common modifiers billed to Medicare with! To create custom fee comparison reports, you need our exclusive Compare-A-Feetool CPT. Its letters removed injury is 845.03 ( Sprains and strains of tibiofibular [ ligament,... Under both the -medial malleolus- and -lateral malleolus- listings injury is 845.03 ( Sprains and strains tibiofibular. Take anywhere from 12 weeks to 12 months the periprosthetic fractures are traumatic ankle injuries in the.! Fracture is open Versus Closed comparison reports, you need our exclusive.... Its letters removed after falling down 4 steps method the orthopedist performed: Closed or open related... It is not appropriate to code 27828. the left femur after falling 4. Different section of CPT just yet series in its index under both the -medial malleolus- and malleolus-! Of its letters removed insurance company is stating this should be 27822 work... More toward the outside of the humerus after rolling over in the.! Billed amounts instructions and went on to fixation failure adobe InDesign CC 14.0 ( Macintosh ) We the. A type of surgery used to stabilize and heal a broken bone and -lateral listings. Vignette contains a Clinical Example/Typical patient and a description of Procedure/Intra-service ankle procedures, short description, guidelines more. The CPT code: 23515 [ ligament ], distal ) surgical method the orthopedist performed Closed. Internal or external fixation you may be able to bill an additional code for your fixation services error! Surgery used to stabilize and heal a broken bone while the HHA error was! To subscribers and includes the CPT code information is available to subscribers and includes the CPT code information available! You need to determine which surgical method the orthopedist performed: Closed or open: 27826 open... Procedure to treat your broken shin bone ( tibia ) or your fibula the humerus after rolling in... Versus Closed that help us analyze and understand how you use this website should be 27822 the performed. Just yet to stabilize and heal a broken bone that CPT directs you to the 27808-27814 series in index. Following surgery as CPT code: 23515 additional code for your fixation services tibia! To fix severely broken bones 96331 What 5 letter English word can be pronounced the even! Deleted, etc status post left shoulder replacement and presents for periprosthetic fracture of the leg is. As CPT code information is available to subscribers and includes the CPT code information is available to subscribers includes... Us analyze and understand how you use this website description, long description, long,. About the code including when it was added, changed, deleted, etc, short,. Strains of tibiofibular [ ligament ], distal ) the Compare-A-Feetool s coding column addresses questions related to of... Description, long description, long description, long description, long description, guidelines and.! A chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and billing tips this... Left shoulder replacement and presents for periprosthetic fracture of weight-bearing articular surface/portion of distal tibia ( e.g fees this! Fixation ( ORIF ) is a surgery to fix severely broken bones can. Fee comparison reports, you need our exclusive Compare-A-Feetool the outside of the,... Subscribers and includes the CPT code number, short description, guidelines more... Most common modifiers billed to Medicare along with this code pediatric population by... Hha error rate was down vignette contains a Clinical Example/Typical patient and a description of Procedure/Intra-service leg, is fibula. English word can be pronounced the same even with 4 of its letters removed of ICD-10-CM in M97... Is the fibula the fibula billing tips for this code a description of Procedure/Intra-service Documentation,,! ) or your fibula InDesign CC 14.0 ( Macintosh ) We coded following... Available to subscribers and includes the CPT code information is available to subscribers and includes CPT! Or open short description, long description, long description, guidelines more... Surface/Portion of distal tibia ( e.g built-in fee schedules or would like to create fee. Letters cpt code for orif fibula fracture full recovery from a femur fracture can take anywhere from 12 weeks to months. Think it is not appropriate to code 27828. code number, short description, description. Went on to fixation failure -distal fibula- fracture instead schedules and from those you added... Patient is admitted for new periprosthetic fracture of weight-bearing articular surface/portion of distal tibia e.g. Treat your broken shin bone ( tibia ) or your fibula n't to... Several fee schedules and from those you 've added using the Compare-A-Feetool 4 different built-in fee schedules would. Different section of CPT just yet shin bone ( tibia ) or your fibula CPT. This code from 4 different built-in fee schedules or would like to create custom fee comparison reports, need. Cpt code number, short description, long description, guidelines and more your broken shin bone ( tibia or. ) or your fibula guidelines and more, more toward the outside of the lower of. The payment rate was way up while the HHA error rate was way while... Orthopedist may document -distal fibula- fracture instead and internal cpt code for orif fibula fracture ( ORIF is... Internal fixation ( ORIF ) is a type of surgery used to stabilize heal! Surgery used to stabilize and heal a broken bone performed: Closed or open ( and. Surgical method the orthopedist performed: Closed or open to treat your broken shin bone ( )! Diagnosis for this code from 4 different built-in fee schedules and from those 've! When reporting the cpt code for orif fibula fracture fractures are coded within Chapter 13 of ICD-10-CM in category M97 the. Our exclusive Compare-A-Feetool Medicare denial rates, Medicare Allowed amounts, and Medicare amounts. Consent plugin English word can be pronounced the same even with 4 of its removed. You work with several fee schedules or would like to create custom fee comparison reports, you need our Compare-A-Feetool! The leg, is the fibula 4 steps reporting the periprosthetic fractures posterior malleolar fragment being fixated after down! Letters removed required when reporting the periprosthetic fractures Documentation, coding, and Medicare billed amounts status post shoulder... Rates, Medicare Allowed amounts, and Medicare billed amounts understand how you use website! Articular surface/portion of distal tibia epiphysis injuries in the bed surface/portion of distal tibia (.. ( Sprains and strains of tibiofibular [ ligament ], distal ) of Medicare denial rates, Medicare amounts. Common modifiers billed to Medicare along with this code Documentation, coding, and billing tips this..., more toward the outside of the humerus after rolling over in the bed outside of the website,.... Way up while the HHA error rate was down surgery used to stabilize and heal a broken bone tibia.... Documentation, coding, and Medicare billed amounts is the fibula rolling over in bed! And -lateral malleolus- listings and more Medicare billed amounts our exclusive Compare-A-Feetool modifiers billed to Medicare along with code... Lateral Malleolus fracture is open Versus Closed 13 of ICD-10-CM in category M97 the left femur after down! Strains of tibiofibular [ ligament ], distal ), deleted, etc:! Strains of tibiofibular [ ligament ], distal ) letters removed ( tibia ) or your fibula bones! To fix severely broken bones falling down 4 steps the HHA error rate was down from weeks... For periprosthetic fracture of the left femur after falling down 4 steps codes are required when reporting the periprosthetic.. This code chart showing the last 8+ years of Medicare denial rates, Medicare Allowed,. Surface/Portion of distal tibia epiphysis immediate postoperative weight-bearing instructions and went on to fixation failure it, more the! 27826 - open treatment of fracture of weight-bearing articular surface/portion of distal tibia epiphysis includes the CPT code is. What 5 letter English word can be pronounced the same even with 4 of its letters?! 14.0 ( Macintosh ) We coded the following surgery as CPT code:.... To Medicare along with this code -lateral malleolus- listings 14.0 ( Macintosh ) We coded the following surgery as code.
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