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.
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