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These injuries are usually caused by a trauma to the ankle that can also damage the soft tissues so these fractures can be very difficult to treat. three cpt codes describe pilon fracture treatments: In this type of fracture, the epiphysis and growth plate separate partially from the metaphysis For example, he takes a bone biopsy of the distal tibia and a separate bone biopsy of the talus

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You should report two units of 20245 With skeletal traction and/or requiring manipulation). Although the surgeon biopsied two lesions, he examined them through separate incisions, so you can collect for both procedures.

The tibia and forearm accept a ring fixator more readily,” he adds

The pelvis is an exception, though, mallon says And coders may have particular difficulty with pelvic cases When reporting a closed treatment for a pilon fracture, you should use code 27825 (closed treatment of fracture of weight bearing articular portion of distal tibia [eg, pilon or tibial plafond], with or without anesthesia