Question

A patient presented with a right ankle fracture. after induction of general anesthesia, the right leg was elevated and draped in the usual manner for surgery. a longitudinal incision was made parallel and posterior to the fibula. it was curved anteriorly to its distal end. the skin flap was developed and retracted anteriorly. the distal fibula fracture was then reduced and held with reduction forceps. a lag screw was inserted from anterior to posterior across the fracture. a 5-hole 1/3 tubular plate was then applied to the lateral contours of the fibula with cortical and cancellous bone screws. final radiographs showed restoration of the fibula. the wound was irrigated and closed with suture and staples on the skin. sterile dressing was applied followed by a posterior splint. what cpt® code is reported?

Answer 1

The patient has right ankle fracture with distal fibular fracture. The procedure that was done is open reduction with internal fixation of the right ankle fracture as well as the distal fibular fracture. The CPT code under fracture or dislocation procedures on the leg (tibia and fibula) and ankle joint is CPT 27792. 

Answer 2

Answer:

27792-RT

Explanation:

A patient presented with a right ankle fracture. after induction of general anesthesia, the right leg was elevated and draped in the usual manner for surgery. a longitudinal incision was made parallel and posterior to the fibula. it was curved anteriorly to its distal end. the skin flap was developed and retracted anteriorly. the distal fibula fracture was then reduced and held with reduction forceps. a lag screw was inserted from anterior to posterior across the fracture. a 5-hole 1/3 tubular plate was then applied to the lateral contours of the fibula with cortical and cancellous bone screws. final radiographs showed restoration of the fibula. the wound was irrigated and closed with suture and staples on the skin. sterile dressing was applied followed by a posterior splint. what cpt® code is reported?

if the patient has fraction in the right fibula the , the right medical procedure to treat this condition can be found in the code index 27792-RT. it deals with fibula/open treatment/fraction.