CPT Code 27418
CPT code 27418 is used to describe the surgical repair of a degenerated kneecap, helping healthcare providers bill accurately for this procedure.
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What is CPT Code 27418
CPT code 27418 is used to describe a surgical procedure that involves the repair of a degenerated kneecap, also known as the patella. This procedure typically addresses issues such as cartilage damage or instability in the kneecap, aiming to restore proper function and alleviate pain for the patient. It is often performed when conservative treatments have failed and is essential for improving mobility and quality of life.
Does CPT 27418 Need a Modifier?
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CPT Code 27418 Medicare Reimbursement
The CPT code 27418 is reimbursed by Medicare, but it is essential to verify the specific details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and their corresponding reimbursement rates.
Additionally, it is crucial to consult with your regional Medicare Administrative Contractor (MAC) to confirm any local coverage determinations or specific billing requirements that may affect reimbursement for CPT code 27418. Each MAC may have unique guidelines and policies, so ensuring compliance with their directives is vital for successful reimbursement.
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