fdl tendon transfer cpt
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Digitorum Longus Tendon Transfer
Fdl tendon transfer to the navicular and tendo achilles lengthening is reported by 27691.
fdl tendon transfer cpt. Edited by matthew buchanan md. Designed to address flatfoot deformties the fdl tendon transfer is performed using the titanium subtalar prostop arthroeresis implant. Mcp sagittal band reconstruction.
This procedure is indicated for patients with a dysfunction of the posterior tibial tendon when the tendon is either stretched out beyond its functional length or when the tendon has ruptured. A flexor digitorum longus tendon transfer is indicated for patients with dysfunction of the posterior tibial tendon where the tendon has become stretched beyond its functional length or has ruptured. Deep is the proper code for transferring the flexor digitorum longus tendon to replace the damaged posterior tibial tendon.
As a result the fdl tendon is transferred into a bone tunnel in the navicular bone and fixated with a screw from the bio tenodesis screw system. You should report cpt code 28313 for the tendon transfer procedures separatelythis is not inclusive to 28285. It is usually performed in conjunction with and as a part of a hammertoe correction cpt 28285 which involves some type of phalangeal bone work eg partial bone resection or fusion of the interphalangeal joint and may involve a tenectomy capsulotomy digital tendon transfer fixation ipj implant etc.
Tenosynovectomy and posterior tibial tendon repair. Tendon lengthening not separately reportable in this case. Denis russell dpm fountain valley ca.
A flexor tendon transfer may also be required. Muscle or tendon transfer any type upper arm or elbow single 24301 tenoplasty with muscle transfer with or without free graft elbow to shoulder single seddon brookes type procedure 24320. Flexor digitorum longus fdl tendon transfer to posterior tibial tendon.
Cpt 27691 transfer or transplant of single tendon with muscle redirection or rerouting. Tendon transfers tenodesis cpt codes. Cpt 27658 repair.
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