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CPT 27792: ORIF of Distal Fibula Fracture
CPT code 27792 denotes open reduction and internal fixation (ORIF) of a distal fibula fracture, including stabilization with plates, screws, wires, or pins. This code captures definitive surgical management for ankle-region fibular fractures and is commonly used in orthopaedic trauma and foot & ankle practices. Nationally, accurate use of this code affects hospital and ambulatory surgery center billing, quality measurement for fracture care, and aggregated procedure volume tracking across payers. Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise clinical and billing overview, typical sites of service, common modifiers and payers, and context for how the code fits into orthopaedic surgical services. The publication highlights benchmarking elements such as utilization patterns, payer coverage considerations, and policy updates relevant to surgical fracture fixation reimbursement and coding compliance. Clinical context covers indications for ORIF of distal fibula fractures and expected procedural components. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 27792 describes surgical treatment of a distal fibula fracture, including internal fixation using plates and screws, wires, or pins. This procedure addresses a break in the lower end of the fibula bone of the leg and involves open reduction and internal fixation to restore alignment and stability.
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Service type: Surgical orthopaedic procedure (open reduction and internal fixation of distal fibula fracture)
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Typical site of service: Hospital operating room or ambulatory surgical center