Levels of Evidence: Level IV: Retrospective, case series.Ĭannulated intramedullary screw distal fibular fracture high-risk wound complication minimally invasive. Conclusion: Cannulated intramedullary screw fixation can serve as a minimally invasive, safe, and satisfactory treatment for distal fibular fractures with resulting high union rates and low complication rates. Average time to union was 10 weeks (range = 8-36 weeks), whereas average time to weight bearing was 14 weeks (range = 8-40 weeks). A low complication rate of 4% was reported. Accordingly, reduction was determined to be good in 25 cases, fair in 15, and poor in 5. Results: Reduction quality criteria were collected using previously published guidelines. Average time to union, average time to weight bearing, and complications were monitored. The Weber classification system was used to assess the type of fracture. All patients included in the cohort had a soft-tissue condition and/or comorbidity. Methods: This retrospective study included 45 patients with distal fibular fractures treated with cannulated intramedullary screw fixation. This study evaluates the use of a cannulated intramedullary screw as a minimally invasive treatment method for distal fibular fractures, which has not been reported in the current literature. Some of our unique products provide you the update information on ICD-9 and HCPCS codes, the ammunition you need to get instant success.Background: Open reduction and internal fixation (ORIF) methods, primarily plates and screws, remain the standard of treatment for distal fibular fractures. Whether it's a powerful code reference tool, a real-time claims auditor to help you reduce denials or step-by-step guidance from CPC certified experts, we've got you covered. Want to know about the trimalleolar, or posterior malleolus ankle fracture Medical Coding as well? Click here to read the whole article Open: Once the podiatrist carries out an open surgical method for the treatment of a bimalleolar fracture, you must report CPT code 27814 (Open treatment of bimalleolar ankle fracture,, includes internal fixation, when performed) along with 824.4 (Fracture of ankle bimalleolar, closed) or 824.5 (.bimalleolar, open) as the diagnosis. with manipulation) in case the podiatrist carries out closed fracture care on a bimalleolar fracture. Each of this CPT code essentially represents bimalleolar fractures, which implies that the patient fractured the lateral as well as medial malleoli together.Ĭlosed: You must report CPT code 27808 (Closed treatment of bimalleolar ankle fracture without manipulation) or 27810 (. You'll note that CPT® directs you to the 27808-27814 series in its index under both the "medial malleolus" and "lateral malleolus" listings. Type 3: Search for Bimalleolar Under Two CPT® Listings Open: You must report CPT code 27766 (Open treatment of medial malleolus fracture, includes internal fixation when performed) while the orthopedist uses an open method for the treatment of the fracture. with manipulation, with or without skin or skeletal traction). Once more, for medial malleolar fractures, you require to define if the surgeon used a closed or open method.Ĭlosed: In case the podiatrist carries out closed medial malleolar fracture treatment, you must report either CPT code 27760 (Closed treatment of medial malleolus fracture without manipulation) or 27762 (. Type 2: Ace Medial Malleolus Fracture Coding Open: If the podiatrist performs open treatment, report CPT code 27792 (Open treatment of distal fibular fracture, includes internal fixation when performed). It’s only used for serious fractures that can’t be treated with a cast or splint. Next, you need to decide which surgical method the podiatrist carried out: closed or open.Ĭlosed: For closed fracture treatment of the lateral malleolus, report either CPT code 27786 (Closed treatment of distal fibular fracture without manipulation) or 27788 (. Overview Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. For example, your podiatrist may have documented "distal fibula" fracture as an alternative. These are the tibia (shinbone), the fibula (the smaller bone in your leg), and the talus (a bone in your foot). You might need this procedure to treat your broken ankle. Type 1: Think if Lateral Malleolus Fracture Is Open Versus ClosedĮven though CPT® leads you to the CPT codes 27786-27814 for lateral malleolus fractures, your work is not finished as podiatrists don't always show "lateral malleolus fractures" in their documentation. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. Podiatrists must be definite while documenting fracture repair as CPT®'s index divides the ankle fracture codes into five kinds: lateral, medial, bimalleolar, trimalleolar, or posterior malleolus. Save your practice $100 with information of anatomic specifics.Ĭonfused with bimalleolar and trimalleolar fracture codes? If this is the case, it could be costing your practice nearly $100 - which is the difference in reimbursement between the open repair CPT codes for such ankle fractures.
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