![]() The repair is performed for different medical necessity than the ORIF of the fractures not all Pilon fractures will have syndesmotic instability. L97.909 10Non-pressure chronic ulcer of unspeci ed part of unspeci ed lower leg with unspeci ed severity L97.91110Non-pressure chronic ulcer of unspeci ed part of right lower leg limited to breakdown of skin L97. 27828 - CPT Code in category: Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Perhaps you can do a corrected claim if it is not too late. You were correct! Repair of the syndesmosis is not inclusive to the Pilon fracture (27828). Thank you for the thoroughness of your question. of an ICD-10 code representative of a rotational ankle fracture, pilon. Short description: Displaced pilon fracture of left tibia, init for clos fx The 2023 edition of ICD-10-CM S82.872A became effective on October 1, 2022. ICD-10-CM Code for Fracture of lower leg, including ankle S82 ICD-10 code. The patient is not Medicare and payor does not follow NCCI edits. S82.872A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). My surgeon stated he was recently advised that the 2 codes were not reportable together and would not let me submit. ICD-9-CM 824.8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 824.8 should only be used for claims with a date of service on or before September 30, 2015. S82.872C is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ![]() 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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