Coding Ankle and Foot Procedures

POSTOPERATIVE DIAGNOSES:

1. Right posterior tibial tendon dysfunction, stage II.

2. Right first ray hypermobility.

3. Right gastrocnemius muscle contracture.

4. Right chronic ankle instability.



PROCEDURES PERFORMED:

1. Right first tarsometatarsal joint fusion.

2. Posterior tibial tendon repair.

3. Medializing calcaneal osteotomy.

& Flexor digitorum longus tendon transfer.

5. Spring ligament repair.

6. Gastrocnemius recession.

7. Lateral ligament reconstruction, Brostrom Gould type procedure.

Dx      Code       Description 

1        727.9       Disorder of Synovium/Tendon/Bursa NOS

2        718.87     Joint Derangement NEC Ankle/Foot

3        728.85     Spasm Of Muscle

CPT   Code     Description                                                    Modifiers          

1        27691     Transfer/Transplant, Single Tendon; Deep         RT              

2        28300    Osteotomy; Calcaneus, w/wo Int Fixation           51, RT 

3        28740    Arthrodesis, Midtarsal/Tarsometatarsal, Single Joint    51,RT       

4        27695    Repair, Primary, Disrupted Ligament, Ankle; Collateral 51,RT       

5        27687    Gastrocnemius Recession        51,RT       

6        27658    Rep Leg Tendn, 1st w/o Graft        51,RT       



ICD   Code     Description

1       83.75 -     

2       77.38 - Division of Bone NEC Tarsal/Metatarsal

3      81.15 - Tarsometatarsal Fusion

4      81.94 - Suture Of Capsule/Ligament Of Ankle/Foot

5      83.72 - Recession of Tendon

6      83.64 - Suture of Tendon NEC