CPT CODES

CPT Code 27654

CPT code 27654 is a medical billing code used for the repair of the Achilles tendon in healthcare services.

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What is CPT Code 27654

CPT code 27654 is for the surgical repair of the Achilles tendon. This procedure typically involves suturing or reconnecting the tendon, which is located at the back of the ankle and is crucial for walking and running. The repair may be necessary due to a rupture or significant injury to the tendon, and it aims to restore function and stability to the ankle.

Does CPT 27654 Need a Modifier?

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CPT Code 27654 Medicare Reimbursement

The CPT code 27654 is reimbursed by Medicare, but the reimbursement specifics can vary based on several factors. To determine if CPT code 27654 is covered and the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered by Medicare.

Additionally, it is important to consult with your local Medicare Administrative Contractor (MAC), as they are responsible for processing Medicare claims and can provide region-specific information regarding coverage and reimbursement for CPT code 27654. The MAC can also offer guidance on any documentation requirements or additional criteria that must be met for reimbursement.

Are You Being Underpaid for 27654 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. With RevFind, you can identify discrepancies for specific codes like 27654, ensuring you capture every dollar owed. Schedule a demo today to see how RevFind can streamline your revenue recovery process.

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