CPT CODES

CPT Code 27720

CPT code 27720 is for the surgical repair of the tibia, a key bone in the lower leg, often due to fractures or other injuries.

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What is CPT Code 27720

CPT code 27720 is for the surgical repair of a fracture or defect in the tibia, which is the larger bone in the lower leg. This procedure typically involves realigning the bone and stabilizing it to promote proper healing. It may include the use of hardware such as plates or screws to secure the bone in place. This code is used to document and bill for the surgical intervention performed on the tibia.

Does CPT 27720 Need a Modifier?

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CPT Code 27720 Medicare Reimbursement

The CPT code 27720 is reimbursed by Medicare, but it is essential to verify its inclusion in the Medicare Physician Fee Schedule (MPFS) to determine the specific reimbursement rate. The MPFS provides a comprehensive list of services covered by Medicare and their corresponding payment amounts.

Additionally, reimbursement for CPT code 27720 may vary depending on the region, as Medicare Administrative Contractors (MACs) have the authority to make local coverage determinations. Therefore, it is advisable to consult the relevant MAC for your area to confirm the reimbursement details for CPT code 27720.

Are You Being Underpaid for 27720 CPT Code?

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