How To Use CPT Code 27871

CPT 27871 describes the procedure for arthrodesis of the tibiofibular joint, either proximal or distal. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27871?

CPT 27871 is used to describe the surgical procedure of permanently fusing the tibia and fibula at the ankle joint. This procedure is performed to alleviate pain and improve mobility for patients with certain conditions affecting the tibiofibular joint.

2. Official Description

The official description of CPT code 27871 is: ‘Arthrodesis, tibiofibular joint, proximal or distal.’

3. Procedure

1. During the procedure, the healthcare provider makes an incision through the skin to access the tibiofibular joint.
2. The articular cartilage surfaces of the joint are removed.
3. The underlying bone is prepared by creating microfractures to promote bone healing and fusion.
4. The joint is aligned in the correct anatomical position.
5. Internal fixation is applied using screws or plates to stabilize the joint.
6. In some cases, bone grafts may be used to enhance the fusion process.
7. An external fixation device may be applied for additional joint stabilization.
8. The area is irrigated, checked for bleeding, and the incisions are closed.

4. Qualifying circumstances

CPT 27871 is performed on patients who experience pain and disability due to conditions affecting the tibiofibular joint. The procedure is typically indicated when conservative treatments have failed to provide relief. It is important to note that the procedure is performed by a qualified healthcare provider and requires appropriate patient selection and evaluation.

5. When to use CPT code 27871

CPT code 27871 should be used when the provider performs arthrodesis of the tibiofibular joint, either proximal or distal. It is important to ensure that the procedure is medically necessary and meets the criteria for reimbursement.

6. Documentation requirements

To support a claim for CPT 27871, the healthcare provider must document the following information:

• Indication for the procedure and the patient’s medical history
• Description of the surgical technique used
• Details of any additional procedures performed, such as bone grafting or external fixation
• Any complications or unexpected findings during the procedure
• Post-operative care instructions and follow-up plans
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 27871, it is important to ensure that the procedure is accurately coded and documented. The procedure should be reported with the appropriate modifiers, if applicable. It is also important to follow any specific billing guidelines provided by the payer or insurance company.

8. Historical information

CPT code 27871 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 with severe ankle pain and instability undergoes arthrodesis of the tibiofibular joint to improve joint stability and alleviate pain.
2. A patient with a history of ankle arthritis undergoes arthrodesis of the tibiofibular joint to reduce pain and improve joint function.
3. A patient with a chronic ankle sprain that has not responded to conservative treatments undergoes arthrodesis of the tibiofibular joint to stabilize the joint and prevent further injury.
4. A patient with a nonunion fracture of the ankle undergoes arthrodesis of the tibiofibular joint to promote bone healing and fusion.
5. A patient with a severe ankle deformity undergoes arthrodesis of the tibiofibular joint to correct the alignment and improve overall foot function.
6. A patient with a history of ankle instability and recurrent dislocations undergoes arthrodesis of the tibiofibular joint to provide stability and prevent further dislocations.
7. A patient with a failed previous ankle surgery undergoes arthrodesis of the tibiofibular joint to address persistent pain and instability.
8. A patient with a severe ankle infection undergoes arthrodesis of the tibiofibular joint to eradicate the infection and promote healing.
9. A patient with a severe ankle fracture undergoes arthrodesis of the tibiofibular joint to stabilize the joint and facilitate fracture healing.
10. A patient with a congenital ankle deformity undergoes arthrodesis of the tibiofibular joint to improve foot alignment and function.