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2025 CPT code 27899

Unlisted procedure, leg or ankle.

When reporting 27899, it is essential to submit supporting documentation that fully describes the procedure performed and explains the clinical rationale for using this unlisted code. The documentation should also include a comparison of the procedure performed to similar, listed procedures. This information aids payers in accurately assessing the claim and determining appropriate reimbursement.

Modifiers may be applicable to 27899.

Medical necessity must be clearly documented. The documentation must justify the use of an unlisted code by explaining why no other code accurately describes the procedure.

The provider performs a procedure on the leg or ankle not represented by a standard CPT code.

In simple words: This code is used when a doctor performs a procedure on your leg or ankle that doesn't have its own specific code.

This code is used for procedures on the leg or ankle that do not have a specific CPT code.

Example 1: A patient presents with a complex ankle injury not adequately described by other codes. The surgeon performs a novel surgical repair., A patient has a rare soft tissue mass in the lower leg requiring a unique excision not covered by existing codes., A patient with a severe deformity of the tibia requires a specialized lengthening procedure not described by standard codes.

Documentation should support the medical necessity of the procedure and describe the procedure performed. It should also explain why existing codes are not applicable.

** Always check for new/more appropriate CPT codes before using this unlisted code.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.