CPT code 27740 is for the surgical repair of leg epiphyses, a procedure to fix growth plate fractures in the leg.
CPT code 27740 is for the surgical repair of the epiphyses in the leg. This procedure typically involves addressing fractures or deformities in the growth plates of the long bones in the leg, ensuring proper alignment and function. It is often performed in pediatric patients to facilitate normal growth and development following an injury or abnormality.
When billing for CPT code 27740 (Repair of leg epiphyses), several modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers that could be used:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both legs.
2. Modifier 51 - Multiple Procedures: This modifier should be applied if the procedure is performed in conjunction with other surgical procedures on the same day.
3. Modifier 58 - Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional: This modifier is appropriate if the procedure is a staged procedure or if it is related to a previous procedure performed by the same provider.
4. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period: Use this modifier if an unplanned return to the operating room is necessary for a related procedure within the postoperative period.
5. Modifier 79 - Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: This modifier is applicable if a different procedure is performed during the postoperative period that is unrelated to the initial procedure.
6. Modifier 22 - Increased Procedural Services: This modifier may be used if the procedure required significantly more work than typically required.
7. Modifier 26 - Professional Component: If the procedure is being billed separately for the professional component, this modifier should be used.
8. Modifier TC - Technical Component: This modifier is applicable if billing for the technical component of the procedure separately.
9. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: If applicable, this modifier can be used when the procedure is repeated on the same day.
10. Modifier 99 - Multiple Modifiers: This modifier is used when more than one modifier is applicable to the procedure.
It is essential to review the specific circumstances of the procedure and the payer guidelines to determine the appropriate modifiers to use.
The CPT code 27740 is reimbursed by Medicare, but it is essential to verify the specifics through the Medicare Physician Fee Schedule (MPFS) and your regional Medicare Administrative Contractor (MAC).
The MPFS provides a comprehensive list of CPT codes and their corresponding reimbursement rates, while the MAC offers localized guidance and policies that may affect reimbursement.
Always consult these resources to ensure accurate and up-to-date information regarding the reimbursement status of CPT code 27740.
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