How To Use CPT Code 27899

CPT 27899 describes a procedure performed on the leg or ankle that does not have a specific code. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27899?

CPT 27899 is used to report procedures on the leg or ankle that do not have a specific code. It is used when there is no other available CPT code that accurately represents the service provided by the healthcare professional.

2. Official Description

The official description of CPT code 27899 is: ‘Unlisted procedure, leg or ankle.’

3. Procedure

1. The healthcare professional performs a procedure on the leg or ankle that is not represented by any of the standard and active CPT codes available.
2. The procedure may involve various treatments or interventions specific to the patient’s condition or injury.
3. The healthcare professional follows the appropriate medical guidelines and protocols to ensure the safety and effectiveness of the procedure.
4. The procedure may require anesthesia, surgical instruments, or other medical equipment depending on the specific nature of the treatment.
5. The healthcare professional documents the details of the procedure, including the specific steps taken and any complications or unexpected findings.

4. Qualifying circumstances

CPT 27899 is used when there is no specific code available to accurately describe the procedure performed on the leg or ankle. It is important to note that this code should only be used when there is no other appropriate code that can be used to report the service provided.

5. When to use CPT code 27899

CPT code 27899 should be used when there is no other specific code available to accurately report the procedure performed on the leg or ankle. It is important to ensure that the procedure performed is not represented by any other active CPT code before using code 27899.

6. Documentation requirements

To support a claim for CPT code 27899, the healthcare professional must provide the following documentation:

• A detailed description of the procedure performed on the leg or ankle
• Operative notes or other relevant documentation that describes the specific steps taken during the procedure
• Any complications or unexpected findings encountered during the procedure
• A cover letter explaining the reason for choosing the unlisted code instead of a defined, active code
• Comparison to similar codes and justification for the claim amount

7. Billing guidelines

When billing for CPT code 27899, it is important to include a cover letter explaining the reason for using the unlisted code instead of a specific code. The documentation provided should support the need for the unlisted code and justify the claim amount. It is also important to compare the service to similar codes to ensure accurate billing.

8. Historical information

CPT code 27899 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 surgeon performs a complex procedure on the ankle to repair a severe ligament tear.
2. An orthopedic specialist performs a unique procedure on the leg to correct a congenital deformity.
3. A podiatrist performs a specialized procedure on the foot to treat a rare bone condition.
4. A trauma surgeon performs an intricate procedure on the leg to repair multiple fractures.
5. An interventional radiologist performs a minimally invasive procedure on the ankle to treat a vascular condition.
6. An orthopedic surgeon performs a revision procedure on the leg to address complications from a previous surgery.
7. A plastic surgeon performs a reconstructive procedure on the ankle to restore function and appearance.
8. An orthopedic specialist performs a complex procedure on the leg to address a rare bone tumor.
9. A vascular surgeon performs a unique procedure on the ankle to restore blood flow.
10. An orthopedic surgeon performs a specialized procedure on the leg to correct a severe deformity.