CPT 27892 Decompression fasciotomy, leg; anterior and/or lateral compartments only, Robbin109 Apr 21, 2016
Thigh is 27496-27497 (One Compartment) 27498-27499 (multiple compartments) Calf is 27892-27894 If you look under Fasciotomy in the index. it leads you to a set of codes for Upper leg and a separate one for Lower. Below the knee is lower leg so you need a code from upper and a code from lower
Other specified joint disorders, left ankle and foot 2016 2017 2018 2019 2020 2021 Billable/Specific Code M25.872 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M25.872 became effective on October 1, 2020.
Fusion of spine, cervical region. This is the American ICD-10-CM version of M43.22 - other international versions of ICD-10 M43.22 may differ.
A29.
Compartment syndrome, unspecified, initial encounter T79. A0XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM T79. A0XA became effective on October 1, 2021.
CPT® Code 25023 in section: Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment.
Fasciotomy, a procedure in which the fascia is cut to relieve pressure in the muscle compartment, is used to treat people with acute or chronic compartment syndrome.
Compartment syndrome occurs when the pressure within a compartment increases, restricting the blood flow to the area and potentially damaging the muscles and nearby nerves. It usually occurs in the legs, feet, arms or hands, but can occur wherever there's an enclosed compartment inside the body.
Compartment decompression, also called 'decompressive fasciotomy', is a surgical procedure to treat a painful knee condition known as “compartment syndrome”.
Open 4-compartment fasciotomy for treatment of chronic exertional compartment of the leg. This video demonstrates our preferred technique for open 4-compartment fasciotomy of the leg. Two anterolateral incisions (1 proximal and 1 distal) are used to gain adequate exposure to both the anterior and lateral compartments.
In this case, the fasciotomy meets the root operation definition of “Release;” freeing a body part from an abnormal physical constraint by cutting or by using force.
Table 2CPTDescription27025Fasciotomy, hip or thigh, any type27062Excision; trochanteric bursa or calcification27146Osteotomy, iliac, acetabular or innominate bone;27299Unlisted procedure, pelvis or hip joint8 more rows•Mar 8, 2021
Foot Compartmental Anatomy Although surgical applications were previously based on these four compartments, recent research suggests the presence of nine myofascial compartments in the foot – medial, superficial, lateral, adductor, calcaneal [1, 2] – and four interosseous compartments [3].
The lower leg subdivides into four compartments which are the anterior, lateral, superficial posterior and deep posterior compartments.
Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure in order to treat the resulting loss of circulation to an area of tissue or muscle. Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome.
In many of the cases we reviewed, the surgeon performed an anterior OPEN approach dissecting down to the anterior spine. Sometimes this was an OLIF or Oblique Lateral approach which is an anterior approach. Many times robotics or a robot is used AND stereotactic navigation are used and both of these codes should be reported on this day.
As coders know, if the entire disc is removed, this is coded to “Resection” root operation for the site of the disc removal i.e., cervical, cervicothoracic, thoracic, thoracolumbar, lumbar, lumbosacral. If there is not documentation of total removal of the intervertebral disc, then code to root operation “Excision.”
A decompression of a nerve root, spinal cord OR BOTH may or may not be done during a spinal fusion. Identify the level released – Cervical, Thoracic, Lumbar, Sacral and code ONCE per level release.
In the cases we reviewed, most of the time, stereotactic navigation was used. This is code 8E0WXB-Computer Assisted Procedure of Trunk Region, with the last character value telling us what the stereotactic navigation was used with:
In some of the cases we reviewed, a robot was used during the anterior open interbody fusion. The surgeon does not always use a robot. One example is the Mazor Stealth edition. The surgeon actually documented this as a procedure in the list on the operative report.
Sometimes surgeons use BMP which is bone morphogenic protein in their fusion surgeries. BMP is a protein that can stimulate the production of bone and cartilage. A brand name coders may see is INFUSE. BMP is considered allograft. **Coding BMP is optional depending on the facility (CC1Q2018 p.8).