Suggested Reimbursement

Reimbursement surgical codes for performing the Ertl procedure

These are only suggested codes which the Barr Foundation consolidated and which we are suggesting as possibilities for review. The responsibility for accurate coding lies with the patient care facility and surgeon (office manager) to confirm the codes for their own use prior to submitting appropriate billing paperwork. These recommendations are open to revision and are provided as a starting point for research/determination of codes to use. They are also subject to changes to the alpha-numeric system.

*Suggested Reimbursement Billing Codes for Ertl Osteomyoplastic Amputation and Reconstruction Procedure

27880 amputation 27715-59,22 Shortening osteoplasty (unusual procedure)

27725-59,22 synostosis (unusual procedure)

27715 and 27725 with the appropriate modifiers for transbitial reconstruction.

27590 and 27465-59,22 (shortening osteoplasty, coded as an unusual procedure and utilization of osteo-periosteal flaps.)

27465 revision for transfemoral amputations

* The above are "suggested" billing codes. Every case is unique and different. There in no one exact pre-operative ICD-9 code for all amputees.

All appropriate pre-operative codes should be verified by the appropriate coding department and link the diagnoses to the surgical codes.

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