What is the CPT code for peroneal tendon repair?

What is the CPT code for peroneal tendon repair?

peroneal tendon. 27658; for secondary repair, report CPT 27659.

How is a peroneal tendon tear diagnosed?

To diagnose a peroneal tendon injury, the surgeon will examine the foot and look for pain, instability, swelling, warmth and weakness on the outer side of the ankle. In addition, an x-ray or other advanced imaging studies may be needed to fully evaluate the injury.

What is a peroneal tendon tear?

A peroneal tendon injury is a painful tear or recurrent subluxation (dislocation) of the peroneal tendons, which attach the muscles on the outside of your calf to your foot bone. The peroneals are prone to injury as the ankle turns or rolls.

What is peroneus brevis tear?

Peroneus brevis tendon tears are acute or chronic, and may be asymptomatic or associated with lateral ankle pain and/or instability. They commonly occur at the level of the retromalleolar groove.

Can you tear your peroneal tendon?

What causes Peroneal Tendon Tear? Peroneal tendonitis is often seen in athletes who play sports requiring them to run and jump. The injury can result from a sudden twisting motion or lateral ankle sprain that stretches the ankle’s outer ligaments too far. This can result in tearing of the tendons.

What is the difference between primary and secondary tendon repair?

Delayed primary repair: A repair performed within 24 hours to two weeks of the injury. Secondary repair: A repair performed after two weeks of injury. “Primary repairs usually involve direct surgical correction of the injury, while secondary repairs may include tendon grafts or other more complex procedures.”

How do you tell if you have a torn tendon in ankle?

What are the symptoms of a torn tendon?

1. A sudden, severe pain during activity or injury.
2. Hearing and/or feeling a popping or snapping sound at the time of injury.
3. Feeling that you’ve been struck in the back of the calf.
4. Swelling and bruising on the inside of your heel or the back of the leg below the calf.

How do you treat a peroneal tear?

Treatment involves rest, ice, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, and a physical therapy regimen that focuses on ankle range-of-motion exercises, peroneal strengthening, and proprioception (balance) training. More severe cases may require immobilization with a walking boot.

How do you treat a peroneal tendon tear?

Walking boot/ankle brace: Braces and boots provide support and can reduce stress on the tendons and allow for rest and inflammation to subside. Anti-inflammatory medications: Medications, such as Motrin or Aleve (ibuprofen), are anti-inflammatory and can reduce the swelling around the tendon.

What causes a longitudinal split tear of the peroneus brevis tendon?

The most likely cause of a combined lesion is recurrent ankle instability, followed by SPR insufficiency, leading to a secondary PBT subluxation and attrition of the tendon. This evolves to become a degenerative longitudinal tear in the PBT.