Bka cpt

2024 Current Procedural Terminology (CPT) Updates New, Revised and Deleted CPT Codes for Oncology This resource is a summary of the coding changes. For full details and guidelines, please refer to the 2024 American Medical Association CPT Professional Edition. New CPT® Codes Evaluation and Management Services 99459: Pelvic examination.

Excision pressure wound from the below-knee amputation stump with complex closure. Patient presents for excision of a pressure wound from the below-knee amputation (BKA) stump. Electrocautery was used to excise the wound and again to undermine the wound edges. The skin in the area of the stump was lax and could be pulled over the stump.The ability to ambulate following major lower extremity amputation, either below (BKA) or above knee (AKA), is a major concern for all prospective patients. ... (Albert Einstein College of Medicine, Bronx, NY). The following Current Procedural Terminology (CPT) codes were used for the query: BKA: 27880, 27881, 27884; AKA: 27590, 27591, …Frustrated by no saver award availability on American Airlines? Well now AA is discounting its business class "AAnytime" awards for summer flights to Europe. If you feel frustrated...CPT ® 27889, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint The Current Procedural Terminology (CPT ® ) code 27889 as maintained by American Medical Association, is a medical procedural code under the range - Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint.Oct 15, 2019 · Below Knee Amputation. Orthobullets Team , US. Below Knee Amputation. Comments. 3 TECHNIQUE STEPS 0 % 0. 0 Preoperative Patient Care ... INCLUDES amputation status, postprocedural loss of limb, post-traumatic loss of limb. Z89.51 Acquired absence of leg below knee Z89.511 Acquired absence of right leg below knee Z89.512 Acquired absence of left leg below knee Z89.519 Acquired absence of unspecified leg below knee Z89.61 Acquired absence of leg above knee Z89.611 …The most common performed procedure concerning BKA is usually through the tibia and fibula which is coded as 27880. This would be the cpt to use. Sepsis, unspecified …

27882, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint. The Current Procedural Terminology (CPT ®) code 27882 as maintained by American …Sep 14, 2010 · 390. Location. Greater Pittsburgh. Best answers. 0. Sep 14, 2010. #1. Is there a CPT code for myodesis, I am an orthopaedic coder and the sx is BKA (below knee amputation) ERTL-type with myodesis. included?? 15732??? any help from plastics is greatly appreciated. Thank you in advance. Background. Stump problems (SPs) are very common complications in patients, who have suffered from traumatic amputation, and often impede prosthetic fitting and weight-bearing [].SPs include stump skin scar or ulcer, delayed wound healing, excess soft tissues, prominent bone under skin, and stump pain caused by spurs or neuroma.The HCPCS codes range Prosthetic Sheaths, Socks, and Shrinkers L8400-L8485 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.If a patient has a guillotine amputation (27882) of the lower extremity, would it be appropriate to use the secondary closure CPT code (27884) as the book suggests, or would it be more appropriate to use the re-amputation code (27886)?Lower-limb amputation surgery is a major life-changing procedure that can result in significant morbidity and mortality. The incidence of these procedures is anticipated to increase in the United States with rising rates of associated illnesses (ie, diabetes, vascular disease, etc). 1 The unique patient population that receives lower limb amputation tends to have multiple comorbidities.The following Current Procedural Terminology (CPT) codes were used for the query: BKA: 27880, 27881, 27884; AKA: 27590, 27591, 27592, 27594. Exclusion criteria included death within 180 days, bilateral amputation, and those patients who were lost to follow-up or did not have 6 months of follow up. All patients underwent rehabilitation post ...leg at the anterior incision; - note that many prosthetists have recommended that the anterior fascicocutaneous flap be made almost equal in size to the posterior. flap so that the scar is moved distall and posteriorly; - posterior flap should extend the AP diameter plus 3 cm; - incision is nexted directed distally and slightly posteriorly on ...

Popliteal artery pressure of 50 mm Hg is generally considered adequate to heal a BKA. Full vascular evaluation for possible salvage procedures, including angioplasty, … Below the Knee Prosthetics HCPCS Code range L5100-L5105. The HCPCS codes range Below the Knee Prosthetics L5100-L5105 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. 27880 - CPT® Code in category: Amputation, leg, through tibia and fibula... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials.Orthotic and Prosthetic Procedures, Devices. L5685 is a valid 2024 HCPCS code for Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each or just “ Below knee sus/seal sleeve ” for short, used in Lump sum purchase of DME, prosthetics, orthotics .

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Information provided in this policy article relates to determinations other than those based on Social Security Act §1862 (a) (1) (A) provisions (i.e. “reasonable and necessary”). Lower limb prostheses are covered under the Medicare Artificial Legs, Arms and Eyes benefit (Social Security Act §1861 (s) (9)). In order for a beneficiary's ...Sep 27, 2011. #4. I was responding with 64450 in mind for the neuroma the same as neuroma injection can be reported with a nerve block code: 64455. Injection (s), anesthetic agent and/or steroid, plantar common digital nerve (s) (eg, Morton's neuroma) Three is also the CPT Assistant reference for painful scar tissue as 64999. N.Rapporter l’analyse de 75 patients amputés du membre inférieur qui ont développé des névromes douloureux, nécessitant une ablation chirurgicale, après une amputation causée par explosions de mines. cette étude rétrospective analyse les résultats de 75 patients opérés pour névromes douloureux après amputation du membre inférieur …Rapporter l’analyse de 75 patients amputés du membre inférieur qui ont développé des névromes douloureux, nécessitant une ablation chirurgicale, après une amputation causée par explosions de mines. cette étude rétrospective analyse les résultats de 75 patients opérés pour névromes douloureux après amputation du membre inférieur …This standard of care applies to any patient after a lower extremity (LE) amputation, including transfemoral (above-knee amputation or AKA), transtibial (below-knee amputation or BKA), transmetatarsal amputation (TMA), and toe amputations. This standard of care is intended to serve as a guide for clinical decision-making for physical therapy ...

The patient has a distal fingertip amputation..the ER phys procedure note states.. Tissue debrided from left ring finger distal tuft of distal phalynx. cleansed with betadine and saline. Patient was anesthetized wih sensorcaine. I used the bone clippers and removed the distal tuft and filed it to smooth. after aggressive irrigation and bony ...The lateral aspect of the left BKA stump was prepped with Betadine and draped in sterile fashion. The point of maximal tenderness was identified with palpation just below the level of the fibular head. The area was then injected with a mixture of 2cc of 0.25% Marcaine mixed with 1mL of 40 mg/mL Kenalog. The injection was performed …ICD-10-CM Diagnosis Code S88.012A [convert to ICD-9-CM] Complete traumatic amputation at knee level, left lower leg, initial encounter. Complete traumatic amputation at knee level, l low leg, init; Traumatic amputation through left knee; Traumatic left through knee amputation. ICD-10-CM Diagnosis Code S78. Traumatic amputation of hip and thigh. ICD-10-CM Diagnosis Code S78.1. Traumatic amputation at level between hip and knee. traumatic amputation of knee (S88.0-) ICD-10-CM Diagnosis Code S88.11. Complete traumatic amputation at level between knee and ankle. Complete traumatic amputation at level betw knee and ankle. Best answers. 0. Oct 16, 2019. #2. I was always taught to code this as just a debridement code 11042-11047 depending on how deep he went. It wouldn't be a revision or a secondary closure. Or use cpt code 27301 if they have an abscess etc.. Sometimes for an infection I've even used the arthrotomy code 27310 depending on the Dr's op report.Indications. A guillotine ankle amputation is indicated in the presence of severe infection or necrosis in the midfoot or hindfoot, such as a wet gas gangrene or fulminant osteomyelitis in the hindfoot, and similar conditions that preclude salvage of a functional foot. In such scenarios, patients are frequently febrile and have bacteremia.Transmetatarsal amputation (TMA) is a relatively common operation that is performed to safeguard limb viability. [ 1] Originally used for trench foot, TMA now has widespread uses in both orthopedic and vascular surgery because it treats patients with infection of the forefoot, necrosis, gangrene, and diabetic neuropathy, who commonly …Doctor performs a RT BKA on a patient. Patient comes in post-op and provider applies a long leg plaster splint to help aid in the healing. Is the splint considered long leg since this is above the calf? CPT definition for long leg splint is (thigh to ankle or toes), but there are no ankle or toes anymore? Thanks for your help! Stacey Skinner, CPC

Answer: Technique differentiates leg amputation codes (27880-27882). The most commonly performed procedure is coded as 27880 (Amputation, leg, through tibia and fibula), usually termed a below knee amputation (BKA).

15738 Vascularized bone graft. 27880-51 Below-knee amputation. 27758-51 Skeletal fixation. • The vascularized bone graft is an axial pattern. flap, based on the peroneal vessels. It. is reported with code 15738. • The skeletal fixation is not included in the. global code 15738 and is separately reported.Below Knee Amputation. Orthobullets Team , US. Below Knee Amputation. Comments. 3 TECHNIQUE STEPS 0 % 0. 0 Preoperative Patient Care ... CPT ® 27889, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint The Current Procedural Terminology (CPT ® ) code 27889 as maintained by American Medical Association, is a medical procedural code under the range - Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint. What is a Boyd amputation? The Boyd amputation is a surgical technique used to treat osteomyelitis of the foot. This amputation is a technically more difficult procedure to perform than the Syme amputation, but it offers certain advantages. The Boyd amputation provides a more solid stump because it preserves the function of the plantar heel pad.• For 4 weeks following surgery take one aspirin 325mg tablet daily to lower the risk of developing a blood clot after surgery. Please contact the office should severe calf pain occur or• R BKA is infected T87.43 • Infection is resolved Z47.81 Aftercare following amputation Z89.511 Acquired absence of right leg below knee • R BKA is dehisced T87.81 • Stump has been revised; no longer dehisced, but the dressing change is the focus of care • Z48.01 Surgical dressing care Z47.81 Aftercare following amputationApr 8, 2014 · Objectives. To assess the effects of different types of incision on the outcome of below knee amputation (BKA) in people with lower limb ischaemia or diabetic foot sepsis, or both. The main focus of the review was to assess the relative merits of skew flap amputation versus the long posterior flap technique. Go to: CPT 14041 Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sqcm to 30.0 sqcm. Pertinent additional codes. CPT 27686 Le gthe ing or shortening of tendon, leg or ankle; multiple tendons (through same incision), each. CPT 27687.If a patient with a BKA requires an AKA, report CPT code 27590 or 27591 as described above. However, if a low-BKA is converted to a high-BKA, this qualifies as a “re …Oct 1, 2015 · Information provided in this policy article relates to determinations other than those based on Social Security Act §1862 (a) (1) (A) provisions (i.e. “reasonable and necessary”). Lower limb prostheses are covered under the Medicare Artificial Legs, Arms and Eyes benefit (Social Security Act §1861 (s) (9)). In order for a beneficiary's ...

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Summary: A relatively new procedure, Regenerative Peripheral Nerve Interface (RPNI), is intended to reduce or eliminate neuroma formation by providing a free muscle graft as physiological target for peripheral nerve ingrowth. This procedure was originally designed for prosthetic control. RPNI would most commonly be done after an …Although the EV sector struggles for traction, Lucid hopes that its latest Gravity SUV will eventually right the ship for LCID stock. The eventual debut could spark new life in the...INCLUDES amputation status, postprocedural loss of limb, post-traumatic loss of limb. Z89.51 Acquired absence of leg below knee Z89.511 Acquired absence of right leg below knee Z89.512 Acquired absence of left leg below knee Z89.519 Acquired absence of unspecified leg below knee Z89.61 Acquired absence of leg above knee Z89.611 Acquired absence ...The UGT1A1 gene belongs to a family of genes that provide instructions for making enzymes called UDP-glucuronosyltransferases. Learn about this gene and related health conditions. ...Current Procedural Terminology (CPT) codes were used to identify patients who underwent UKA, BKA, and TKA for a primary indication of osteoarthritis (OA). Univariate and multivariable analyses were performed to determine 1-year and 2-year revision, prosthetic joint infection (PJI), and loosening, 1-year manipulation under anesthesia (MUA), and ... This standard of care applies to any patient after a lower extremity (LE) amputation, including transfemoral (above-knee amputation or AKA), transtibial (below-knee amputation or BKA), transmetatarsal amputation (TMA), and toe amputations. This standard of care is intended to serve as a guide for clinical decision-making for physical therapy ... We included all adults, age ≥65 years patients with a diagnosis of PAD who underwent surgical procedure for a lower extremity amputation (transmetatarsal [common procedural technology (CPT) code: 28805], below-the-knee [BKA: CPT codes: 27880, 27881], or above-the-knee amputation [AKA; CPT codes: 27950, 27951]).The Gemini card is a new way for cardholders to earn crypto rewards on every purchase they make, all with no annual fee! We may be compensated when you click on product links, such... ….

The total wound surface area treated cannot exceed 100 sq cm so you have the ability to bill CPT 15272 3 times, for example, if skin substitute graft material is applied to 75.1 up to 100 sq cms of foot/toe wound(s). • SinceCPT 15276 is an “add-on” code, you would NOT apply a “-51” modifier. It is already discounted.The Current Procedural Terminology (CPT) code range for Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint 27880-27889 is a medical code set maintained by the American Medical Association.ICD9 Codes. Traumatic thumb amputation (885.0) Traumatic thumb amputation, compl (885.1) Traumatic finger amputation (886.0) Traumatic finger amputation, compl (886.1) Late effect of traumatic amputation (905.9) Late effect, open wound extremity (nonspecific) (906.1) Neuroma of amputation stump (997.61) CPT Codes.Indications for foot amputation including abscess, gangrene, osteomyelitis (including acute, subacute, and chronic), diabetic wounds, and all other were tabulated. …ICD-10-CM Diagnosis Code S88.012A [convert to ICD-9-CM] Complete traumatic amputation at knee level, left lower leg, initial encounter. Complete traumatic amputation at knee level, l low leg, init; Traumatic amputation through left knee; Traumatic left through knee amputation. ICD-10-CM Diagnosis Code S78. Traumatic amputation of hip and thigh.Whiteville, NC. Best answers. 0. Aug 17, 2010. #3. Did you mean the actual diagnosis? If you did I think 997.69 "Complications affecting specified body systems, not elsewhere classified; amputation stump complication; other" should fit the bill. And of course dav4code's code range for the repair.INCLUDES amputation status, postprocedural loss of limb, post-traumatic loss of limb. Z89.51 Acquired absence of leg below knee Z89.511 Acquired absence of right leg below knee Z89.512 Acquired absence of left leg below knee Z89.519 Acquired absence of unspecified leg below knee Z89.61 Acquired absence of leg above knee Z89.611 …CPT Codes. Anesthesia. Anesthesia for Procedures on the Lower Leg (Below Knee) 01482. 01480. 01482. 01484.1. INTRODUCTION. Trauma is the second most common indication for lower limb amputation with diabetes mellitus being the most common cause. 1, 2 Trauma to lower extremities is common following Road traffic injuries, railway track injuries, and machine cut injuries. They may have an associated crush injury or vascular injury, which …CPT ® 27889, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint The Current Procedural Terminology (CPT ® ) code 27889 as maintained by American Medical Association, is a medical procedural code under the range - Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint. Bka cpt, 2024 Current Procedural Terminology (CPT) Updates New, Revised and Deleted CPT Codes for Oncology This resource is a summary of the coding changes. For full details and guidelines, please refer to the 2024 American Medical Association CPT Professional Edition. New CPT® Codes Evaluation and Management Services 99459: Pelvic examination., It is a generally accepted long-standing clinical axiom in peripheral artery disease (PAD) patients who have had a below-knee amputation (BKA) and develop stump breakdown or infection that all efforts should be undertaken to preserve the knee joint. Conventional wisdom is that most BKA patients are ambulatory, whereas patients with an above-knee …, The sciatic nerve is typically located at a depth of 6–8 cm. (Reproduced with permission from Hadzic A: Hadzic’s Peripheral Nerve Blocks and Anatomy for Ultrasound-Guided Regional Anesthesia, 2nd ed. New York: McGraw-Hill, 2011.) Medial to the femur is the adductor magnus muscle, anterior to the hamstring muscles., Summary: Targeted muscle reinnervation (TMR) is beneficial for decreasing pain following below-knee amputation (BKA). While most current literature describes the principles behind primary TMR, they provide few principles key to the ampu-tation, as the BKA is usually performed by another surgeon. When the BKA and TMR are performed by the same ..., Lower extremity amputation is performed to remove ischemic, infected, necrotic tissue or locally unresectable tumor and, at times, is a life-saving procedure. Peripheral artery disease, alone or in combination with diabetes mellitus, contributes to more than one-half of all amputations; trauma is the second leading cause., In the healthcare industry, accurate documentation and coding are crucial for maximizing revenue and ensuring proper reimbursement. One important aspect of this process is the Nati..., Procedure: Revision right BKA Procedure note: (See attached file) Attachments. image1449.pdf. 66.4 KB · Views: 7 0 F. fwnewbie Guest. Messages 541 Location New Haven ..., CPT 14061: Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm; Once the defect being repaired with adjacent tissue transfer reaches an area of 30.1 sq cm or larger, instead of reporting the codes we have discussed above that are specific for different anatomic sites, we have special …, This study primarily investigates the risk factors for unplanned reoperation following BKA. Methods: Below knee amputations from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database from the years 2012-2014 were identified by CPT code 27880 for amputation through the tibia and fibula. Our query ..., This standard of care applies to any patient after a lower extremity (LE) amputation, including transfemoral (above-knee amputation or AKA), transtibial (below-knee …, Extremities: Below knee amputation, left leg, no signs of infection, prosthetic limb. No edema. Codes • Z89.512 Acquired absence of left leg below knee • Z97.14 Presence of artificial left leg (complete) (partial) Rationale • Documentation clearly indicates amputation resulting from an accident. No further treatment or sequela is documented., Lower-limb amputation surgery is a major life-changing procedure that can result in significant morbidity and mortality. The incidence of these procedures is anticipated to increase in the United States with rising rates of associated illnesses (ie, diabetes, vascular disease, etc). 1 The unique patient population that receives lower limb …, Current Procedural Terminology (CPT) codes were used to identify patients who underwent UKA, BKA, and TKA for a primary indication of osteoarthritis (OA). Univariate and multivariable analyses were performed to determine 1-year and 2-year revision, prosthetic joint infection (PJI), and loosening, 1-year manipulation under anesthesia (MUA), and ..., The Current Procedural Terminology (CPT) code range for Amputation Procedures on the Femur (Thigh Region) and Knee Joint 27590-27598 is a medical code set maintained by the American Medical Association., ICD-10-CM Diagnosis Code S78.1. Traumatic amputation at level between hip and knee. traumatic amputation of knee (S88.0-) ICD-10-CM Diagnosis Code S88.11. Complete traumatic amputation at level between knee and ankle. Complete traumatic amputation at level betw knee and ankle. , Of the 19 protocol patients, three had AKA (average 3.0 nerve coaptations) and 16 had BKA (average 5.75 nerve coaptations). After protocol implementation, there were significant improvements in rates of amputation formalization (95% versus 51%, ..., peripheral neuroma (CPT code 64784) if the neuroma . is resected along with the aforementioned pedicle nerve . transfer code. Symptomatic neuromas have occurred in 3 patients ., For CSF order test code 18901-BK Virus DNA, Quantitative Real-Time PCR, CSF and for urine order test code 16581-BK Virus DNA, Quantitative Real-Time PCR, Urine. Plasma: Collect blood in sterile tubes containing EDTA as an anticoagulant, or in plasma preparation tube (PPT). Collect whole blood at room temperature and separate plasma from cells ..., Despite improvements in the management of peripheral vascular disease, it is estimated that 150 000 patients in the United States have non-traumatic lower-extremity amputations yearly. 1 Above-knee amputation (AKA) and below-knee amputation (BKA) are associated with significant morbidity and mortality, yet the import of maintaining a BKA has major physical (decreased energy expenditure) and ..., Current Procedural Terminology CPT 2022 ULTRASOUND - US X-RAY DIGITAL MAMMOGRAPHY (with Computer-Aided Detention) BONE DENSITY - DEXA FLUOROSCOPY POSITRON EMISSION TOMOGRAPHY - PET/CT DOPPLER Brain (Metabolic) Skull Base to Mid Thigh Na18F Bone Whole Body Abdomen KUB1 view …, Chrome: When you want to visit a website without being tracked, Incognito mode can log you out and prevent most tracking. However, you lose your extensions by default. Fortunately,..., Abstract. Targeted muscle reinnervation (TMR) is beneficial for decreasing pain following below-knee amputation (BKA). While most current literature describes the principles behind primary TMR, they provide few principles key to the amputation, as the BKA is usually performed by another surgeon. When the BKA and TMR are performed …, It is the responsibility of each laboratory to determine correct CPT codes to use for billing. CPT codes are provided by the performing laboratory. 87799. LOINC® Information. Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the order and results codes of this test. LOINC values are ..., CPT ® Code Set. 27880 - CPT® Code in category: Amputation, leg, through tibia and fibula... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following …, The CPT lay description for stump revision "27596" reads: After the stump has granulated or healed by scar, the physician performs secondary closure or scar revision. This procedure is usually performed two to three weeks or more after the initial open amputation was completed. Additional bone is sectioned, usually at a more proximal or higher ..., Within the musculoskeletal section of CPT®, there is a general incision code (20005 Incision and drainage of soft tissue abscess, subfascial (ie., involves the soft tissue below the deep fascia), and codes specific to neck; shoulder; upper arm and elbow; forearm and wrist; hand and fingers; pelvis and hip joint; femur and knee joint, leg and ..., Best answers. 0. Oct 16, 2019. #2. I was always taught to code this as just a debridement code 11042-11047 depending on how deep he went. It wouldn't be a revision or a secondary closure. Or use cpt code 27301 if they have an abscess etc.. Sometimes for an infection I've even used the arthrotomy code 27310 depending on the Dr's op report., Procedure: Revision right BKA Procedure note: (See attached file) Attachments. image1449.pdf. 66.4 KB · Views: 7 0 F. fwnewbie Guest. Messages 541 Location New Haven, IN Best answers 0. Jan 28, 2021 #2 Wound dehiscence is a complication so start looking under Complications is the ICD index . The procedure itself …, Physical Therapist's Guide to Below-Knee Amputation. Lower-limb amputation is a surgical procedure performed to remove a limb that has been damaged due to trauma or disease. Below-knee or "trans-tibial" amputation comprises 23% of lower-limb amputations. Amputation is possible in any age group, but the prevalence is highest …, The CPT code set accurately describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes. The current version is the CPT 2024., • The claim submitted to the insurance carrier reports the CPT code for the office visit and the ICD-10-CM codes R63.4 (weight loss), M79.641 (right hand pain), I50.9 (CHF) and E11.40 (DM with Neuropathy) • The ICD-10-CM for the amputation of left leg below knee, Z89.512 was not reported on the claim. Coding Guidance , CPT 27888 Amputation, ankle, through malleoli of tibia and fibula (eg. Syme, pirogofftype procedures), with plastic closure and resection of nerves. 23 Additional Amputation Codes. CPT 27882 Amputation, leg, through tibia and fibula; open, circular (guillotine) CPT 27884 Amputation, leg, through tibia and fibula; secondary closure or scar ... , Dec 19, 2019. #1. My provider list the procedure performed as a revision of AKA stump. Patient had previous AKA by another physician in another state and when moving here the stump became infected and bone exposed. Physician brought the patient to the OR and mad an elliptical incision around the stump. then went through the subcutaneous tissue ...