CPT code 27665 is for the surgical repair of a leg tendon, detailing the specific procedure performed on the patient's leg.
CPT code 27665 is used to describe the surgical procedure for the repair of a tendon in the leg. This code specifically refers to the repair of each tendon that is addressed during the procedure, indicating that if multiple tendons are repaired, each would be reported separately using this code. This procedure typically involves suturing or otherwise fixing the tendon to restore its function and integrity, which is crucial for the patient's mobility and overall leg function.
When billing for CPT code 27665 (Repair of leg tendon each), the following modifiers may be applicable:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both legs during the same session.
2. Modifier 51 - Multiple Procedures: This modifier should be applied when multiple procedures are performed during the same surgical session, indicating that the primary procedure is being billed along with additional procedures.
3. Modifier 58 - Staged or Related Procedure: This modifier is appropriate if the repair is part of a staged procedure or if it is a subsequent procedure related to the initial surgery performed on the same leg.
4. Modifier 78 - Unplanned Return to the Operating Room: Use this modifier if the patient requires a return to the operating room for a related procedure within the postoperative period.
5. Modifier 79 - Unrelated Procedure or Service by the Same Physician: This modifier is applicable if a procedure unrelated to the original surgery is performed by the same physician during the postoperative period.
6. Modifier 22 - Increased Procedural Services: This modifier can be used if the procedure required significantly more work than typically required, justifying additional reimbursement.
7. Modifier 26 - Professional Component: If the procedure is being billed separately for the professional component (e.g., the surgeon's services), this modifier should be used.
8. Modifier TC - Technical Component: This modifier is used when billing for the technical component of the procedure, indicating that the facility or provider is billing for the equipment and supplies used.
9. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: If applicable, this modifier can be used when the procedure is repeated on the same day for the same patient.
It is essential to review the specific circumstances of the procedure and the payer guidelines to determine the appropriate modifiers to use for accurate billing and reimbursement.
The CPT code 27665 is reimbursed by Medicare, but it is essential to verify the specific reimbursement 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 27665.
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