Wiki Gluteus medius tendon repair

[lmcreynolds@aoamail.net]

Hi

I am needing a CPT code for "repair of chronic gluteus medius tendon tear". I can't seem to find one and am leaning towards unlisted procedure, even though I hate to use those. If there isn't a CPT code for it, is there one close to it so I can get an idea for a dollar amount to charge if I use the unlisted procedure?

Thanks so much.
Lorie

 

[AlanPechacek]

I would recommend you read the "Similar Threads" listed below this panel. It basically comes down to using the Unlisted Procedure Code 27299, and pairing it to 27385 for a "Primary Repair," even though these are usually chronic tear situations. Having reviewed the possibilities, I would agree with this combination.

Respectfully submitted, Alan Pechacek, M.D.
icd10orthocoder.com

 

[ariendeau]

I would recommend you read the "Similar Threads" listed below this panel. It basically comes down to using the Unlisted Procedure Code 27299, and pairing it to 27385 for a "Primary Repair," even though these are usually chronic tear situations. Having reviewed the possibilities, I would agree with this combination.

Respectfully submitted, Alan Pechacek, M.D.
icd10orthocoder.com

27385 is for quadriceps or hamstring muscle which doesn't include the gluteus medius so I question the usage of that CPT code. I believe it's just 27299 only.

 

[Stewart7127]

27385 is for quadriceps or hamstring muscle which doesn't include the gluteus medius so I question the usage of that CPT code. I believe it's just 27299 only.

He's stating that the 27385 is the compare-to code, because 27299 is unlisted and doesn't have an RVU value/fee schedule.

I agree with the coding of 27299 c/t 27385, it's what we use in my ortho practice.

S.Stewart, CPC

 

[adunlap23]

I know this is an older post, but I wanted to get some more opinions on the matter...

As recommended above, 27385 has an RVU of 18.21. The linked article suggests using 29827 as a compare-to code, which has an RVU of 31.71. That's a big price difference. I'm interested to find out what everyone else is using as a compare-to code for arthroscopic Gluteus Medius repair?