M76.71ICD-10 Code for Peroneal tendinitis, right leg- M76. 71- Codify by AAPC.
M76.72ICD-10 Code for Peroneal tendinitis, left leg- M76. 72- Codify by AAPC.
The peroneus brevis tendon is located directly behind the fibula bone and in general is more prone to injury. It serves to evert the foot, meaning to move it outwardly away from the rest of the leg.
S86. 312A - Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg [initial encounter] | ICD-10-CM.
CPT 28659Peroneus Brevis Tendon Repair would be CPT 28659.
Peroneal tendonitis (also known as peroneal tendinopathy) is a form of tendonitis that affects the foot and ankle. Peroneal tendonitis is a condition that causes pain on the outside of the foot and up the outside of your lower leg when walking or running.
Peroneus brevis tendon injury is a strain (tear) of the peroneal tendon at the point it attaches to the outside of the foot.
Introduction. The peroneus brevis muscle is the shorter of the two muscles that make up the lateral compartment of the leg, with the peroneus longus being the longer muscle. The function of the peroneus brevis muscle is to evert the foot and plantarflex the ankle.
The Peroneus Brevis is responsible for 63% of the power needed to evert the foot as well as assists in plantar flexion along with the Peroneus Longus. The peroneal muscles work together to provide dynamic lateral ankle stability during sudden ankle inversion stress.
What causes Peroneal Tendon Tear? Peroneal tendonitis is often seen in athletes who play sports requiring them to run and jump. The injury can result from a sudden twisting motion or lateral ankle sprain that stretches the ankle's outer ligaments too far. This can result in tearing of the tendons.
ICD-10 Code for Achilles tendinitis, right leg- M76. 61- Codify by AAPC.
ICD-10 code M79. 672 for Pain in left foot is a medical classification as listed by WHO under the range - Soft tissue disorders .
Primary peroneus brevis tendon repair? For this tendon repair, you can use CPT® 27658 Repair, flexor tendon, leg; primary, without graft, each tendon or 27659 Repair, flexor tendon, leg; secondary. But after reading your op report, it looks like the approach is by ankle:
Some orthopedic coders might be tempted to report repair of the peroneal tend. with ankle codes, but the AMA confirmed that code 28200 would be the appropriate code to report for repair of the peroneals when no subluxation or dislocation is present. (once per tendon.) 28200 twice with -51 modifier to 2nd code.
Because the approach is by ankle, the better code choice is 28200 Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon.
Your surgeon indicated "...brevis was tenodesed to the peroneus longus proximally and distally..." (redirected the brevis to the longus proximally and distally). Add on 27692 if another tendon was transferred.
Surgeon "peroneus brevis was tenodesed to the peroneus longus proximally and distally to torn peroneus longus tendon". Can't find a code for tenodesis in this area but did find tendon transfer 27690, but that includes muscle redirection. These two tendons are right next to each other.
Repair of peroneus tendon and groove deepening in the fibula of the peroneal groove, left. 2. Repair of the superior peroneal retinaculum, left. The two CPT codes I came up with to cover the procedures are CPT 27658 and 27675. Here is the procedure description:
The peroneus longus appeared to be in good condition without any flattening or signs of tearing. The broadening was debrided with the Metzenbaum scissors, and the tendon was tubularized and held with a running suture of 2-0 Ethibond.