How To Use CPT Code 27703

CPT 27703 describes the procedure of ankle arthroplasty revision, specifically the readjustment and revision of the implant in the ankle joint. 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 27703?

CPT 27703 is used to describe the revision of a total ankle arthroplasty. It involves the readjustment and revision of the implant in the ankle joint, typically to correct a loose component of a prior repair. This code is used when the provider makes an incision over the previous incision site, removes any scar tissue, and dissects away the soft tissues to expose the joint. The provider then removes the screws and old prosthesis, cleans and smooths the tibia, fibula, and talus, and places the old or a new prosthesis. Bone cement is applied to hold the prosthesis in place, and screws are placed through the tibia and fibula. The provider repairs the soft tissues, controls any bleeding, and closes the wound.

2. Official Description

The official description of CPT code 27703 is: ‘Arthroplasty, ankle; revision, total ankle.’

3. Procedure

1. The provider makes an incision over the previous incision site and removes any scar tissue.
2. He dissects away the soft tissues and exposes the joint.
3. The provider removes the screws and old prosthesis.
4. He washes the old prosthesis and checks its size.
5. The provider cleans and smooths the tibia, fibula, and talus again and places the old or a new prosthesis.
6. He applies bone cement to hold the prosthesis in place.
7. The provider places screws through the tibia and fibula.
8. He repairs the soft tissues, controls any bleeding, and closes the wound.

4. Qualifying circumstances

CPT 27703 is typically performed on patients who have previously undergone a total ankle arthroplasty and require revision due to a loose component. The procedure is performed by a provider who is appropriately prepped and anesthetized. The provider must have the necessary skills and qualifications to perform the revision and readjustment of the ankle implant.

5. When to use CPT code 27703

CPT code 27703 should be used when a revision and readjustment of a total ankle arthroplasty is performed. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If the procedure does not involve the revision of a total ankle arthroplasty, a different code should be used.

6. Documentation requirements

To support a claim for CPT 27703, the provider must document the following information:

• Patient’s previous total ankle arthroplasty
• Reason for revision and readjustment
• Details of the procedure, including the specific steps performed
• Any complications or unexpected findings
• Any additional procedures performed during the same session
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 27703, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document and code the procedure to ensure proper reimbursement. CPT code 27703 should not be reported with other codes unless additional procedures were performed during the same session. It is important to follow the specific guidelines provided by the payer when submitting claims for CPT 27703.

8. Historical information

CPT 27703 was added to the Current Procedural Terminology system on January 1, 1990. It was initially included in the Inpatient Only (IPO) list for Medicare, but was later removed in 2021. However, it was added back to the IPO list in 2022.

9. Examples

1. A patient who previously underwent a total ankle arthroplasty requires a revision and readjustment of the ankle implant due to a loose component.
2. A provider performs a revision and readjustment of a total ankle arthroplasty to correct a misalignment of the ankle joint.
3. A patient with a history of total ankle arthroplasty experiences pain and instability in the ankle joint, necessitating a revision and readjustment of the implant.
4. A provider performs a revision and readjustment of a total ankle arthroplasty to address a failed component of the implant.
5. A patient presents with complications following a previous total ankle arthroplasty, requiring a revision and readjustment of the ankle implant.
6. A provider performs a revision and readjustment of a total ankle arthroplasty to improve the range of motion and stability of the ankle joint.
7. A patient with a history of total ankle arthroplasty experiences recurrent dislocations of the ankle joint, necessitating a revision and readjustment of the implant.
8. A provider performs a revision and readjustment of a total ankle arthroplasty to address a malpositioned component of the implant.
9. A patient presents with pain and limited mobility following a previous total ankle arthroplasty, requiring a revision and readjustment of the ankle implant.
10. A provider performs a revision and readjustment of a total ankle arthroplasty to address a loose or unstable implant.