Cpt code for achilles tendon debridement. would I code the 27650 even though it wasnot a tear.

Cpt code for achilles tendon debridement of achilles tendinosis. • For Achilles tendon debridement and repair for tendonosis, choose 27654 (Repair, secondary, Achilles tendon, with or without graft). Jan 7, 2018 · Curious everyone's take on this common billing scenario: Achilles take down, resection haglund's, resection of bursa, debridement of the Achilles, reattach Achilles. Procedure to be scheduled: Debridement of Achilles Tendon, with PRP injection. However I did research some payor policy and found many major commercial payors deem the use of this tool experimental and will not cover it. Code: 27687 Explore the latest guidelines for Achilles tendon surgery medical billing to ensure accurate coding and optimal reimbursement in 2023. CPT® code 20924 should be billed separately unless the code descriptor references the harvesting of the graft or implant (e. J. It may be indicated for conditions such as tendonitis or other injuries that affect the mobility and function of the lower leg. Scenario 3: Surgical Debridement of Chronic Tendinitis A 55-year-old patient with chronic pain and tendon thickening undergoes surgical debridement of degenerated Achilles tendon fibers. While these codes have been around for a long time, there are still many questions about how to use them properly. What CPT code to use for the Codes: 20551, 76882 (with Modifier -59), 99213 (with Modifier -25) Lay Term: Office visit plus image-guided injection into the Achilles tendon. She did use Topaz. Jul 20, 2008 · California Subscriber Answer: You may report 11043 (Debridement; skin, subcutaneous tissue and muscle) for Achilles tendon debridement, which involves removing devitalized tissue and foreign matter, assuming the descriptor matches the surgeon's documented debridement depth and the structures involved (skin, subcutaneous tissue and muscle). After all conservative treatment options were Mar 16, 2009 · NATURE OF OPERATION: Left Achilles tendon debridement and repair with graft, flexor hallucis longus tendon transfer and partial ostectomy calcaneus. would I code the 27650 even though it wasnot a tear. Append with 59 modifier where appropr [ Read More ] WHAT IS DEBRIDEMENT OF THE ACHILLES TENDON? Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel. The CPT codes for Achilles tendon repair vary depending on whether the procedure is primary, secondary (due to failed prior repair), involves grafting, or includes lengthening. Nov 6, 2024 · The correct coding of surgical debridement services (CPT® codes 11042–11047) requires documentation of both the measurement of the wound surface (devitalized tissue) area after debridement and the depth of tissue that is removed. Achilles: Debridement, Repair, Reconstruction, Haglund Resection and Tendon Transfer The Achilles tendon is a large tendon on the back of your ankle that plays an important role in your ability to walk. May 3, 2012 · The Topaz company recommends that you use the CPT code of the procedure you are doing (ex:achilles tendon repair code). Oct 29, 2008 · I have a surgery with a dx. Daily activities generate a great deal of strain on that tendon and sometimes it has a difficult time repairing itself. (with or without FHL tendon transfer which is obviously its own separate code). Feb 3, 2022 · 27654 (Repair, secondary, Achilles tendon, with or without graft) Code differences: You’d report 27650 for an acute Achilles tear that the provider repairs without a graft. Debridement of the Achilles tendon is a surgical procedure that removes damaged tissue and calcium deposits from the tendon. , includes obtaining graft). . If you don’t know the ins-and-outs of coding cutting edge procedures, you risk getting left in the dust as medicine continues to evolve. An approximately 10 cm incision was made over the posterior aspect of the heel and was taken down through skin and soft tissue. The Dec 10, 2012 · The code includes exposure of the Achilles tendon, but you can assign a separate code if you perform debridement of necrotic tissue (28200) on the Achilles tendon (AMA, May 2011). How would I correctly bill for the debridements: CPT 11043 (debridement, skin, subcutaneous tissue, and muscle Aug 10, 2011 · Has anyone billed for debridement of Achilles tendon with Topaz microdebrider? I have reviewed coding/billing info. g. or use unlisted foot code, Topaz is a tool not a procedure. The Achilles tendon is the largest tendon in the body. This procedure is typically performed to alleviate tension or restore function in cases where the tendon is constricted or causing pain. When this happens, you may develop Achilles tendonitis, a condition Nov 6, 2025 · AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor Debridement of Bone and Tendon Using Tenex Ultrasound Device A 62-year-old male with a long history of left heel spur pain and Achilles tendonitis presents for debridement of bone and tendon using the Tenex ultrasound device. This code specifically indicates that the healthcare provider has performed a repair of the tendon, which is crucial for restoring function and mobility in the affected leg. Have a question about CPT Code 27654 ? Start a discussion here. We would like to show you a description here but the site won’t allow us. Debridement (smoothing out a tendon) prior to repair is always included in the repair. This procedure consists of autogenous graft through separate tendon incision. This article provides a detailed overview of the Current Procedural Terminology (CPT) codes used for Achilles tendon repair, helping ensure correct billing practices. Jul 30, 2025 · This comprehensive guide explores the anatomy of the Achilles tendon, types of injuries, surgical techniques, CPT codes (such as 27650 and 27654), recovery protocols, and billing best practices. CPT code 27680 is for the surgical procedure involving the release of a tendon in the lower leg. It connects your calf muscles to your heel bone and is used when you walk, run, and jump. Apr 27, 2025 · There are a number of different debridement codes in the CPT book, but today, we will focus on CPT codes 11042-11047 which are some of the most commonly reported codes. 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. Achilles repair is a component of 28118 (retrocalcaneous) and 28119 (plantar heel spur). Understanding the nuances of each code and its appropriate May 3, 2012 · The Topaz company recommends that you use the CPT code of the procedure you are doing (ex:achilles tendon repair code). Thank you. The tendon was split down the midline, and all degenerative and teninotic debris was excised. A small incision on the posterolateral aspect of the retrocalcaneal heel spur was made Should an autogenous graft be medically necessary for the treatment of chronic Achilles tendon rupture, procedure code 20924 may be utilized. Mar 12, 2012 · 28118 Ostectomy, calcaneus; this code is for a bone spur removal on the back of the heel, through the achilles tendon. Aug 4, 2017 · Procedures: Left Achilles tendon debridement with Haglund excision and Achilles tendon lengthening. Jul 27, 2025 · Achilles Tendon Repair CPT Codes: Master Coding for Accurate Billing Accurate coding for Achilles tendon repair procedures is crucial for appropriate reimbursement. How to code Topaz microdebridement ablation procedure, left Achilles tendon lateral insertion, and central band plantar fascia, left foot INDICATIONS FOR PROCEDURE: This is a 41-year-old female who presents to the office with pain at the plantar medial aspect of the left heel, as well as at the lateral insertion site of the Achilles tendon. Mar 16, 2009 · NATURE OF OPERATION: Left Achilles tendon debridement and repair with graft, flexor hallucis longus tendon transfer and partial ostectomy calcaneus. Care was taken not to violate the subcutaneous nerve structures. Thanks for any help! A longitudinal incision was made on the anterior edge of the Achilles tendon. Oct 25, 2022 · Debridement of the necrotic area of the Achilles tendon was performed, and the incision was closed in layers with sutures. Query: Retrocalaneal Spurs & Achilles Tendon Surgery What would be the appropriate coding for the following? 1) Excision of moderate sized retrocalcaneal bursal sac 2) Resection of multiple posterior calcaneal heel spurs -- by exposure posteriorly of partially transected (inverted T) distal Achilles tendon - and then repair and reattachment of the tendon with a mini-Mitek anchor 3) Debridement May 7, 2024 · I am curious what CPT code would you use for a Achilles tendon debridement with Topaz coblation? Feb 19, 2021 · Has anyone used 28008 for Achilles Tendon Debridement? The surgeon coded 28008 but I everything I have read looks at 27680- She did not repair, it was not ruptured. and they suggest you use code 27654, however, I have also reviewed several payor policies on Query: Billing Multiple Ulcers/Open Wounds We have a patient with open wounds/ulcers on top of foot, heel, lower calf, Achilles area (exposed Achilles tendon and muscle). Although the Achilles tendon can withstand great stresses from running and jumping, it is also prone to Aug 14, 2014 · Patient had MRI left ankle, demonstrating mucoid degenerative changes with respect to Achilles Tendon. How would I correctly bill for the debridements: CPT 11043 (debridement, skin, subcutaneous tissue, and muscle Apr 2, 2009 · Any ideas on a code or codes to use for this? Heres the meat of the op note. OPERATIVE INDICATIONS: The patient is a 46-year-old gentleman who has had over two years of pain in his left posterior heel, some interstitial signal on MRI was noted. The measurement and documentation should be part of your standard operating procedures for surgical debridement. Dec 16, 2021 · Based on the information you provided, and according to a CPT Assistant article published in April 2020, the correct code is 27654 Repair, secondary, Achilles tendon, with or without graft Jan 1, 2010 · • For debridement of insertional Achilles tendinitis and repair (suture anchor versus bony trough), choose code 27680. provided by the company as well as several articles regarding the use of this tool. CPT code 27654 is for the surgical repair of the Achilles tendon. It is important to review the patient’s medical record and document the details of the procedure to support the code selection. This procedure alleviates pain associated with Achilles tendonitis. CPT code 27650 is used to describe the surgical procedure for repairing a torn or damaged Achilles tendon. Miller, Office of Lawrence Gaston, DPM, Lawrence, KS Response: The code for repair of an Achilles tendon would be CPT 27650 or CPT 27652 or CPT 27654 depending on whether it's a primary or secondary repair. Procedure was a debridement of the achilles tendon then repaired the peritenon. We will be performing surgical debridement of all wounds, as well as a partial debridement of the Achilles tendon. The use of a screw/washer over any other fixation Aug 10, 2011 · Has anyone billed for debridement of Achilles tendon with Topaz microdebrider? I have reviewed coding/billing info. Query: Reattachment of the Achilles Tendon What is the proper code for the reattachment of the Achilles tendon with a washer/screw? T. No frank tear, no haglund deformity, but with mild retrocalcaneal bursitis. It was carried down the subcutaneous tissues. Is it appropriate to report CPT code 28120, Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus, for this procedure? Mar 10, 2025 · An Orthopedic Billing and Coding Cheat Sheet helps practices follow medical billing best practices and ensure accurate, timely reimbursement. A new techniques, however, doesn’t always mean a new, corresponding CPT code. 28060 plantar fasciectomy 27654 Achilles tendon debridement 28119 calcaneal exostectomy for spur According to my research, these would be the appropriate codes. Dec 19, 2019 · All the tendon debridement is part of a repair and not performed on separate tendons for separate pathology. The procedure may involve suturing the tendon back together or using other techniques to ensure proper healing and Feb 15, 2010 · Hint: If you try to use an unlisted code, be sure your OP notes include this information. The Current Procedural Terminology (CPT) code used for this procedure is 27654, which represents repair, secondary, Achilles tendon, with or without graft. w8oxz 2iwf uo7i 8qek3 qhdms3 i8r uzhdnjj zuv7rg7e jps1vnzy wgk