tci ED Coding & Reimbursement Alert - 2005 Issue 5

Reader Questions: Describe Posterior Malleolus With 27760

Question: If the ED physician performed fracture care without manipulation on the patient's posterior malleolus, which CPT should we report? There appears to be no specific code for this.Arkansas Subscriber Answer: You are correct in your assessment that there is no specific code to describe the emergency department physician's treatment of an isolated fracture of the posterior malleolus (which is a portion of the tibia).Because the posterior malleolus is part of the tibia, the medial malleolus code (27760, Closed treatment of medial malleolus fracture; without manipulation) is the most appropriate choice to represent this service.CPT divides...

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