2016年1月21日 · A patient was seen for a left ankle fracture dislocation with fractured lateral malleolus, disruption syndesmosis, and complete tear of the deltoid ligament. The physician performed an open reduction and internal fixation lateral malleolus, open repair of medial deltoid ligament, and repair of syndesmosis of the distal fibular tibial articulation.

2012年5月30日 · Syndesmosis repair with ORIF I thought so too but found a CPT Assistant March 2009 that states when an ORIF of the lateral malleolus is done and sydesmosis repair is done as well, that the syndesmosis repair can be charged IF a separate incision is made.

2012年5月21日 · Open reduction and internal fixation of right distal fibula with a Arthrex periarticular distal fibular plate. Open reduction and internal fixation of one of the medial malleolus with an Arthrex medial hook plate and three syndesmosis repair with an Arthrex TightRope. Open reduction and internal fixation of bimalleolar ankle fracture.

2010年7月21日 · PROCEDURE: Open reduction and internal fixation and syndesmotic screw to the left ankle. PROCEDURE WAS AS FOLLOWS: After the patient was anesthetized, her left lower extremity was prepped and draped in usual sterile fashion.

2014年9月17日 · Procedure performed: Closed Reduction, internal fixation left ankle Operative Report: Tourniquet was placed proximally to the left lower extremity. It was then prepped and draped in a sterile manner and a time out was taken. At this point in time a stab incision was made on the medial and lateral condyle.

Initial surgery was 27829 with placement of two syndesmotic screws as fixation. Four months later, the fixation must be removed, and a permanent fixation put in place of the screws. I know, the 20680,...

2013年4月26日 · This code is inclusive of internal fixation. For the acute disruption of the syndesmosis, you report 845.03 (Tibiofibular [ligament] sprain distal). Caveat: Remember to check documentation for the approach your surgeon used. You can report c ode 27829 in addition to 27792 when the syndesmosis repair requires a separate incision.

2009年4月25日 · Many ankle fractures also involve disruption of the syndesmosis or distal tibiofibular joint. You can bill this in addition to the ankle fracture repair code using 27829 (Open treatment of distal tibiofibular joint [syndesmosis] disruption, includes internal fixation when performed), Woodward says.

2000年12月1日 · I am removing a screw used for an ankle syndesmosis fixation (distal tibio-fibular joint). This was planned and originally placed at the time of the open reduction, internal fixation (ORIF) (27828, open treatment of fracture of weight bearing articular surface/portion of distal tibia [e.g., pilon or tibial plafond], with internal fixation or ...

2020年3月24日 · Once the fracture was anatomically reduced. One guide pin from the Synthes screw set was placed. Once this was in appropriate position, a 46 mm screw was placed into the medial malleolus. This resulted in anatomic fixation both by direct visualization and by fluoroscopic evaluation.