How To Use CPT Code 27707

CPT 27707 describes a specific procedure known as fibular osteotomy, which involves cutting a wedge-shaped portion of bone from the fibula, one of the two long bones in the lower leg. This article will provide an overview of CPT code 27707, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27707?

CPT 27707 is used to describe a surgical procedure called fibular osteotomy. During this procedure, a qualified healthcare provider cuts a wedge-shaped portion of bone from the fibula, which is the outer and thinner of the two long bones in the lower leg. The purpose of this procedure is to correct misalignment or deformity, such as malunion of a fracture or unequal leg length.

2. Official Description

The official description of CPT code 27707 is: ‘Osteotomy; fibula.’

3. Procedure

1. To perform a fibular osteotomy, the healthcare provider begins by making an incision in the skin over the fibula on the outer side of the leg.
2. They then cut through the soft tissue to expose the bone.
3. The provider incises the periosteum, which is the outer covering of the bone, and elevates it.
4. A wedge-shaped piece of bone is then removed from the fibula.
5. In some cases, the provider may use implants like screws or plates to keep the bone in the corrected position after the osteotomy.
6. Finally, the provider ensures hemostasis at the surgical site and closes the wound by suturing the soft tissue in layers.

4. Qualifying circumstances

Fibular osteotomy is typically performed to correct deformities or misalignments of the fibula. This procedure may be necessary for patients with conditions such as malunion of a fracture or unequal leg length. It is important that the procedure is performed by a qualified healthcare provider who has the necessary expertise and training in performing osteotomies.

5. When to use CPT code 27707

CPT code 27707 should be used when a healthcare provider performs a fibular osteotomy. This code is specific to the procedure of cutting a wedge-shaped portion of bone from the fibula. It is important to accurately document and code the procedure to ensure proper reimbursement and accurate medical records.

6. Documentation requirements

When reporting CPT code 27707, the healthcare provider must document the following information:

• Reason for the fibular osteotomy, such as malunion of a fracture or unequal leg length
• Details of the procedure, including the specific technique used
• Date of the procedure
• Any implants or devices used during the procedure
• Any complications or unexpected findings
• Post-operative care instructions, if applicable

7. Billing guidelines

When billing for CPT code 27707, it is important to ensure that the procedure performed aligns with the description of fibular osteotomy. The healthcare provider should use the appropriate CPT code based on the specific procedure performed. It is also important to follow any specific billing guidelines provided by the payer or insurance company to ensure accurate reimbursement.

8. Historical information

CPT code 27707 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 qualified healthcare provider performs a fibular osteotomy to correct malunion of a fracture in a patient’s lower leg.
2. During a surgical procedure, a wedge-shaped portion of bone is removed from the fibula to address unequal leg length in a patient.
3. A healthcare provider performs a fibular osteotomy to correct a deformity in the fibula caused by a previous injury.
4. In a patient with a misaligned fibula, a qualified healthcare provider performs a fibular osteotomy to realign the bone.
5. A fibular osteotomy is performed to correct a deformity in the fibula caused by a congenital condition in a patient.
6. A healthcare provider performs a fibular osteotomy to address a malunion of a fracture that occurred in the patient’s lower leg.
7. To correct an unequal leg length, a qualified healthcare provider performs a fibular osteotomy in a patient’s lower leg.
8. A fibular osteotomy is performed to correct a deformity in the fibula caused by a previous surgical procedure in a patient.
9. In a patient with a misaligned fibula, a qualified healthcare provider performs a fibular osteotomy to realign the bone.
10. A fibular osteotomy is performed to correct a deformity in the fibula caused by a traumatic injury in a patient.