How To Use CPT Code 27676

CPT 27676 describes the procedure for repairing dislocated peroneal tendons by inserting them into a groove made in the fibula, the smaller bone in the lower leg. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27676?

CPT 27676 is used to describe the surgical repair of dislocated peroneal tendons. The procedure involves inserting the tendons into a groove created in the fibula, the outermost bone of the lower leg. The purpose of this procedure is to restore function and alleviate pain for the patient.

2. Official Description

The official description of CPT code 27676 is: ‘Repair, dislocating peroneal tendons; with fibular osteotomy.’

3. Procedure

1. The provider begins by making a longitudinal lateral ankle incision and dissecting the subcutaneous tissue to expose the fibula.
2. A groove is then created in the posterior aspect of the lateral malleolus, which is the rounded process at the bottom of the fibula.
3. The ends of the peroneal tendons are inserted into the groove.
4. To secure the tendons in place, the bone flaps created during the groove-cutting process are brought together to cover the tendons. Alternatively, a wedge of bone cut from the lateral malleolus may be used to cover the tendons.
5. The wound is thoroughly irrigated, any bleeding is controlled, and the soft tissues are sutured in layers.
6. The skin incision is closed with sutures, and a short leg cast is typically applied.

4. Qualifying circumstances

CPT 27676 is performed on patients with dislocated peroneal tendons. The procedure is intended to restore function and alleviate pain. It is important to note that this code should only be reported once, regardless of whether one or more peroneal tendons are repaired with fibular osteotomy.

5. When to use CPT code 27676

CPT code 27676 should be used when a provider performs the surgical repair of dislocated peroneal tendons with fibular osteotomy. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 27676, the provider must document the following information:

• Preoperative diagnosis
• Procedure performed
• Specific details of the surgical technique used
• Any complications encountered during the procedure
• Postoperative diagnosis
• Any additional procedures performed during the same operative session
• Any postoperative care provided

7. Billing guidelines

When billing for CPT 27676, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should also be aware of any bundling or unbundling issues that may affect reimbursement. It is recommended to review the payer’s guidelines and policies to ensure accurate and appropriate billing.

8. Historical information

CPT 27676 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient presents with dislocated peroneal tendons, and the provider performs a surgical repair using fibular osteotomy.
2. A patient with chronic ankle pain undergoes a procedure to repair dislocated peroneal tendons with fibular osteotomy.
3. A professional athlete sustains an injury resulting in dislocated peroneal tendons, and the provider performs a surgical repair using fibular osteotomy.
4. A patient with a history of ankle instability undergoes a procedure to repair dislocated peroneal tendons with fibular osteotomy.
5. A patient with a traumatic ankle injury requires a surgical repair of dislocated peroneal tendons using fibular osteotomy.
6. A patient with a congenital abnormality of the ankle undergoes a procedure to repair dislocated peroneal tendons with fibular osteotomy.
7. A patient with chronic ankle instability undergoes a surgical repair of dislocated peroneal tendons using fibular osteotomy.
8. A patient with recurrent ankle dislocations requires a procedure to repair dislocated peroneal tendons with fibular osteotomy.
9. A patient with a history of ankle sprains undergoes a surgical repair of dislocated peroneal tendons using fibular osteotomy.
10. A patient with chronic ankle pain and instability undergoes a procedure to repair dislocated peroneal tendons with fibular osteotomy.