What is the CPT code for ORIF tibial plafond fracture?
CPT® 27827 in section: Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed.
What is Plafond of tibia?
A pilon fracture (also called a tibial plafond fracture) is a comminuted fracture of the distal tibia involving the ankle joint.
What are the types of pilon fractures?
Three different fracture types based on comminution and displacement of the articular surface were proposed. Type I are intra-articular fractures without displacement, type II are displaced fractures without comminution, and type III are displaced fractures with impaction and comminution (Table 1).
Where is the tibia plafond?
A tibial plafond fracture (also called a tibial pilon fracture) occurs at the end of the shin bone and involves the ankle joint. As is the case with tibial plateau fractures, these injuries occur close to the joint and must be treated with the cartilage surface of the ankle joint in mind.
What is the CPT code for ORIF tibia and fibula?
CPT® Code 27792 – Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint – Codify by AAPC.
What is the CPT code for ORIF Distal fibula fracture?
CPT® 27786 in section: Closed treatment of distal fibular fracture (lateral malleolus)
What is Pilon ankle?
A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. Most of the time, it includes breaks in both the tibia and fibula of the lower leg. The lower ends of these bones make up part of the ankle.
What is a pilon fracture of the finger?
A pilon fracture is an uncommon intraarticular fracture of the proximal interphalangeal (PIP) joint resulting in comminution, central depression, and splay, sagittally and coronally, of the articular surface of the base of the middle phalanx.
What does PILON include?
PILON stands for Payment In Lieu of Notice. It is a payment made to an employee when dismissed instead of the individual having to work their notice period.
When does Pilon start?
Pay in lieu of notice, or PILON, is when an employee is dismissed and receives a compensation payment instead of working their notice period. The payment is designed to reimburse the individual for the portion of salary or wages lost due to not working their notice.
What is a pilon fracture?
Pilonis the French word for “pestle”—an instrument used for crushing or pounding. In many pilon fractures, the bone may be crushed or split into several pieces due to the high-energy impact that caused the injury. In most cases, surgery is needed to restore the damaged bone to its normal position.
What is a fracture of the plafond?
Fracture of the plafond occurs when the talus is driven into the tibia from axial compression. The type of fracture that occurs will depend on the position and rotation of the foot at the time of im … The fracture of the tibial plafond or pilon fracture is an uncommon but difficult fracture to manage.
Do you need a CT scan for a pilon fracture?
To fully evaluate your fracture, your doctor may recommend an x-ray (left), a CT scan (center), or a three-dimensional CT scan (right). Many pilon fractures require surgery but, rarely, some stable fractures can be treated nonsurgically.
How do you fix a pilon fracture with an external fixator?
The external fixator is usually removed after the plates and screws have been placed. If your fibula is also broken, your doctor might first perform surgery to fix the fibular fracture and get your ankle back into place—and then apply an external fixator to hold your pilon fracture in place.