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.
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