The procedures performed are
1. 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:
A curvilinear incision was created over the peroneals from just inferior to the tip of the fibula up approximately 2-3 inches superiorly. Bleeders were clamped and ligated. Sharp and blunt dissection was used to gain access to the superior peroneal retinaculum and to the peroneal tendons. The retinaculum was transected with Metzenbaum scissors. Further incisions exposed the peroneal tendons. 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. The tendon was torn from approximately 1 inch exposed, and a 1/8th drill bit was inserted behind the peroneal retinaculum, creating space within the fibular canal. The tamp was used to deepen the groove in the fibula. The tendons were placed back in to place, and the peroneal brevis tendon was wrapped with a 4×4 cm EpiFlx placental graft. This was secured with a 3-0 Vicryl.
Next, the area was flushed with normal saline, and the superior peroneal retinaculum was repaired with 2-0 Ethibond. Ther area was once again flushed with normal saline and closed in layered fashion with 3-0 Vicryl for subcutaneous tissues, and the skin was closed in a subcuticular manner…
Would the two codes I selected be correct? It seems the 27675 covers the superior peroneal retinaculum repair. Or I may be interpreting that wrong, which is why I would love any help and advice.
TIA
KM