The description for 27814 Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation. The repair is performed for different medical necessity than the ORIF of the fractures not all Pilon fractures will have syndesmotic instability. The note says that the physician only treated the lateral side w/ORIF and the medial side was treated in a closed manner. Perhaps you can do a corrected claim if it is not too late. Short description: Disp fx of lateral malleolus of l fibula, 7thD. You were correct! Repair of the syndesmosis is not inclusive to the Pilon fracture (27828). S82.62XD is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Thank you for the thoroughness of your question. S82.64XA Nondisplaced fracture of lateral Malleolus right fibula. S82.61XA Displaced fracture of lateral malleolus of right fibula, initial closed. Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when. The patient is not Medicare and payor does not follow NCCI edits. Ankle Foot ICD-10, CPT Coding for orthopedic surgery. ![]() My surgeon stated he was recently advised that the 2 codes were not reportable together and would not let me submit. I recommended CPT code 27828 (Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed of both tibia and fibula) and CPT code 27829 (Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed). I coded a case for one of our surgeons where he did an ORIF of a distal tibia/fibula fracture (Pilon) and syndesmosis repair and documented a separate diagnosis to support each procedure.
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