From the Research
Medical billing codes for broken leg surgery should include CPT codes for fracture treatment, such as 27506 for open treatment of femoral shaft fracture with internal fixation, 27758 for open treatment of tibial shaft fracture with plate/screws, or 27814 for open treatment of ankle fracture, as well as ICD-10 diagnosis codes that specify the fracture location and type, as supported by the most recent study 1. When determining the appropriate billing codes for broken leg surgery, it is essential to consider the specific bone fractured, the treatment method, and whether any hardware was used.
- The treatment method may include open reduction internal fixation, external fixation, or closed reduction, and the codes used will depend on the specific approach taken.
- The use of hardware such as plates, screws, or rods will also impact the billing codes used.
- Additional codes may be needed for anesthesia, imaging services, and postoperative care, as noted in 2 and 3. The exact codes used will depend on the specific details of the procedure, and medical coders and billers should verify the most current codes as they are updated periodically by the American Medical Association and Centers for Medicare and Medicaid Services, as mentioned in 4.
- Accurate documentation is crucial, and should include the fracture site, treatment method, any implanted hardware, and whether the fracture was open or closed.
- By using the most current and accurate billing codes, healthcare providers can ensure that they are properly reimbursed for their services and that patients receive the care they need, as supported by the study 1.