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2025 CPT code 27724

Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft).

Modifier 62 may be appended if two surgeons work together as primary surgeons.Modifier 54 may be used if the surgeon performs only the surgical portion of the procedure.

Modifiers can be applied to further specify the service provided.

Medical necessity must be established by documenting the functional limitations and pain caused by the nonunion or malunion.Pre-authorization may be required by some payers.

The physician prepares the patient, makes an incision, exposes the fracture site, removes fibrous tissue, prepares the bone for the graft, harvests the bone graft, places the graft, secures the fracture with plate and screws, controls bleeding, and closes the wound.

IMPORTANT For repair without a graft, use 27720.For repair with a sliding graft, use 27722. For the same service involving a fibular synostosis, use 27725.

In simple words: The surgeon repairs a broken shinbone (tibia) that hasn't healed properly.They use a bone graft from your hip or another area to help the bone heal correctly.

This code describes a surgical procedure to repair a tibia fracture that has not healed correctly (nonunion) or has healed in a bad position (malunion).The procedure involves using a bone graft taken from the patient's iliac crest (hip) or another suitable location to facilitate healing. The harvesting of the graft is included in this code.

Example 1: A patient has a nonunion of the tibia following a previous fracture.Code 27724 is used when the surgeon repairs the nonunion using an iliac crest bone graft., A patient with a tibial malunion experiences pain and limited function. The surgeon performs an osteotomy to realign the bone and uses an autograft from the patient's fibula to promote healing. Code 27724 is reported., A patient has a tibial nonunion that requires surgical repair with a bone graft taken from their rib.Code 27724 is reported for this procedure.

Documentation should include details of the fracture, the type of nonunion or malunion, the source of the autograft, the method of fixation, and any complications.

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