Coding, Classification & Reimbursement

Topic: question on CPT code 27506

1.  question on CPT code 27506

Posted 7 days ago

I had a question on Ortho coding and I was hoping to pick all your brains.  I am needing references and resources also.

 

CPT code 27506 – (Open treatment of femoral shaft fracture, with/without external fixation, with insertion of intramedullary implant, with/without cerclage and/or locking screws) is the code in question. 

 

Do your doctors bill this code?   How do they bill for percutaneous  insertion of the intramedullary implant using that code as there isn't a dedicated percutaneous code.  

 

My understanding of the 'open' procedure is in the traditional fashion with an incision through the skin, subQ, muscle, down to the bone.  I know there isn't a percutaneous code for this type of procedure so would you use the 27506 with a modifier to show reduced services? 

 

I would greatly appreciate any advice, opinions, comments and any resources you may have.  I am drawing a blank with google searches.  Thank you in advance,

 

Mary Dressler, CPC, CEMC

T: 405-271-1500 ext. 54180     F: 405-271-2499              

Email: mary-dressler@ouhsc.edu


 

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