Coding Ankle and Foot Procedures

POSTOPERATIVE DIAGNOSES:
1. Right posterior tibial tendon dysfunction, stage II.
2. Right first ray hypermobility.
3. Right gastrocnemius muscle contracture.
4. Right chronic ankle instability.

PROCEDURES PERFORMED:
1. Right first tarsometatarsal joint fusion.
2. Posterior tibial tendon repair.
3. Medializing calcaneal osteotomy.
& Flexor digitorum longus tendon transfer.
5. Spring ligament repair.
6. Gastrocnemius recession.
7. Lateral ligament reconstruction, Brostrom Gould type procedure.

Dx      Code       Description 
1        727.9       Disorder of Synovium/Tendon/Bursa NOS
2        718.87     Joint Derangement NEC Ankle/Foot
3        728.85     Spasm Of Muscle

CPT   Code     Description                                                    Modifiers          
1        27691     Transfer/Transplant, Single Tendon; Deep         RT              
2        28300    Osteotomy; Calcaneus, w/wo Int Fixation           51, RT  
3        28740    Arthrodesis, Midtarsal/Tarsometatarsal, Single Joint    51,RT       
4        27695    Repair, Primary, Disrupted Ligament, Ankle; Collateral 51,RT       
5        27687    Gastrocnemius Recession        51,RT       
6        27658    Rep Leg Tendn, 1st w/o Graft        51,RT       

ICD   Code     Description

1       83.75 -     

2       77.38 - Division of Bone NEC Tarsal/Metatarsal

3      81.15 - Tarsometatarsal Fusion

4      81.94 - Suture Of Capsule/Ligament Of Ankle/Foot
5      83.72 - Recession of Tendon

6      83.64 - Suture of Tendon NEC