Summary & Overview
CPT 27675: Repair of Dislocated Peroneal Tendons
CPT code 27675 denotes surgical repair of dislocated peroneal tendons without bone-cutting procedures on the fibula. This code is used for operative management of lateral ankle tendon subluxation or dislocation to restore function and relieve pain. Nationally, accurate use of this CPT code supports clinical documentation, appropriate reimbursement, and quality tracking for foot and ankle surgical care.
Key payers in common coverage analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage policies and prior authorization requirements for operative peroneal tendon repair vary by plan and clinical criteria, making consistent coding and documentation important for claims adjudication.
Readers will find an overview of the clinical context for the procedure, typical sites of service (hospital inpatient/outpatient and ambulatory surgery centers), common modifiers used with surgical CPT coding, and guidance on where to locate relevant payer policy details. The publication summarizes benchmarks and policy updates where available and highlights documentation elements—such as operative details and clinical indications—that drive correct CPT code selection and claims processing. Data not available in the input are noted where applicable.
Billing Code Overview
CPT code 27675 describes a surgical repair of dislocated peroneal tendons without osteotomy or cutting into the fibula. The procedure is performed to restore tendon function and relieve lateral ankle pain resulting from tendon subluxation or dislocation.
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Service type: Operative tendon repair of the lateral ankle (peroneal tendons)
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Typical site of service: Hospital inpatient or outpatient surgical setting, or ambulatory surgery center where orthopedic foot and ankle procedures are performed.
Data not available in the input for associated taxonomies, specific ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A 34-year-old recreational soccer player presents with lateral ankle pain, swelling, and a sensation of snapping along the lateral aspect of the ankle after a twisting injury. Physical exam demonstrates tenderness posterior to the lateral malleolus and palpable subluxation of the peroneal tendons with resisted eversion. MRI confirms peroneal tendon dislocation with attenuation of the superior peroneal retinaculum and no fibular fracture. After failed conservative management including immobilization and physical therapy, the orthopedic foot and ankle surgeon performs an open peroneal tendon repair without osteotomy of the fibula to restore the retinacular integrity and stabilize the tendons.
Typical clinical workflow:
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Initial evaluation in orthopedic clinic with focused history and physical exam.
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Imaging ordered: weight-bearing ankle radiographs to exclude fracture and MRI to assess tendon pathology and retinacular injury.
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Nonoperative management trial (immobilization, activity modification, physical therapy) documented and timed.
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Preoperative clearance and informed consent obtained; operative note documents tendon repair approach that avoids cutting into the fibula and describes repair technique, laterality, estimated blood loss, anesthesia type, and any intraoperative complications.
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Postoperative follow-up includes wound checks, immobilization progression to functional brace, and physical therapy to restore range of motion and strength.