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The CPT® Code 27830 refers to the closed treatment of a dislocation at the proximal tibiofibular joint, specifically performed without the use of anesthesia. The proximal tibiofibular joint is a type of synovial joint located at the back and side of the knee, where the lateral condyle of the tibia meets the head of the fibula. This joint is characterized by its structure, which includes hyaline cartilage or fibrocartilage covering the surfaces, a joint cavity that is lined with synovial membrane, and is filled with synovial fluid that facilitates smooth movement. The stability of this joint is maintained by a joint capsule and surrounding ligaments. During the procedure, the healthcare provider applies manual pressure to realign the dislocated joint back to its normal anatomical position. The success of this reduction is confirmed through the use of radiographs, which are separate imaging studies that can be reported independently. Following the reduction, a splint or cast may be applied to support the joint as needed. It is important to note that if the procedure is performed with general anesthesia, the appropriate code to use would be CPT® Code 27831 instead.
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The closed treatment of proximal tibiofibular joint dislocation, as described by CPT® Code 27830, is indicated for patients who present with a dislocation of the proximal tibiofibular joint. This condition may arise due to trauma, such as a fall or a sports-related injury, leading to symptoms that include pain, swelling, and limited mobility in the knee area. The procedure is performed to restore the joint to its proper alignment and alleviate discomfort associated with the dislocation.
The closed treatment of proximal tibiofibular joint dislocation involves several key procedural steps. First, the healthcare provider will assess the patient's condition, including a physical examination to evaluate the extent of the dislocation and any associated injuries. Once the diagnosis is confirmed, the provider will position the patient appropriately to facilitate access to the joint. The next step involves the application of manual pressure to the dislocated joint, carefully maneuvering it back into its anatomical alignment. This process requires skill and precision to ensure that the joint is properly reduced without causing further injury. After the reduction is achieved, the provider will verify the success of the procedure through radiographs, which are imaging studies that confirm the joint's proper alignment. If the reduction is successful, the final step involves the application of a splint or cast to stabilize the joint and support the healing process.
After the closed treatment of the proximal tibiofibular joint dislocation, the patient may require specific post-procedure care to ensure proper healing. This may include instructions on how to care for the splint or cast, as well as guidelines for activity restrictions to prevent re-injury. Patients are typically advised to monitor for any signs of complications, such as increased pain, swelling, or changes in circulation to the affected limb. Follow-up appointments may be scheduled to assess the healing process and to determine when it is safe to resume normal activities. Rehabilitation exercises may also be recommended to restore strength and mobility to the joint once healing has progressed.
| Short Descr | TREAT LOWER LEG DISLOCATION | Medium Descr | CLTX PROX TIBFIB JT DISLC W/O ANES | Long Descr | Closed treatment of proximal tibiofibular joint dislocation; without anesthesia | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 147 - Treatment, fracture or dislocation of lower extremity (other than hip or femur) |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | T7 | Right foot, third digit |
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| Pre-1990 | Added | Code added. |
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