CPT CODES

CPT Code 27606

CPT code 27606 is for the surgical incision of the Achilles tendon, used to describe a specific medical procedure in billing and documentation.

Table of Contents
What is CPT Code 27606
Does CPT 27606 Need a Modifier?
CPT Code 27606 Medicare Reimbursement
Are You Being Underpaid for 27606 CPT Code?
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What is CPT Code 27606

CPT code 27606 is for the surgical procedure involving the incision of the Achilles tendon. This code is used when a healthcare provider performs an operation to access the Achilles tendon, typically to address issues such as tendon rupture, repair, or other related conditions. The procedure may involve cutting through the skin and underlying tissues to reach the tendon for treatment.

Does CPT 27606 Need a Modifier?

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CPT Code 27606 Medicare Reimbursement

When determining if CPT code 27606 is reimbursed by Medicare, it is essential to consult the Medicare Physician Fee Schedule (MPFS) and the guidelines provided by your regional Medicare Administrative Contractor (MAC). The MPFS is a comprehensive listing of fees used by Medicare to reimburse physicians and other healthcare providers on a fee-for-service basis. Each MAC, which administers Medicare claims for specific regions, may have additional guidelines or local coverage determinations (LCDs) that impact reimbursement.

To verify if CPT code 27606 is reimbursed, you should:

1. Check the MPFS: Access the MPFS database to see if CPT code 27606 is listed and review the associated reimbursement rates and any specific billing requirements.

2. Consult Your MAC: Review any LCDs or other guidance documents provided by your MAC to ensure there are no regional restrictions or additional documentation requirements for CPT code 27606.

By following these steps, you can determine if CPT code 27606 is reimbursed by Medicare and ensure compliance with both national and regional guidelines.

Are You Being Underpaid for 27606 CPT Code?

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. For instance, with CPT code 27606, you can ensure that every dollar is accounted for. Schedule a demo today to see how RevFind can help you maximize your reimbursements and streamline your financial processes.

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