Bka cpt

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 …

Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. These Current Procedural Terminology codes are used to document an...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.Implantable Hand and Feet Prosthetics. L8670-L8670. Vascular Implants. L8678-L8689. Implantable Neurostimulators and Components. L8690-L9900. Miscellaneous Orthotic and Prosthetic Services and Supplies. HCPCS Code range (L5000-L9900), Prosthetic Procedures, contains HCPCS codes for prosthetic procedures, Partial foot,shoe …RETIRE Transtibial Below the Knee Amputation (BKA) Amputations Updated: Oct 15 2019. Below Knee Amputation. Orthobullets Team , US. Below Knee Amputation. Comments. 3 TECHNIQUE STEPS 0 % 0. 0 Preoperative Patient Care A. Intermediate Evaluation and Management. 1. Obtain focused history and performs focused exam ... 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 ... The conversion of BKA to AKA for stump complications has been reported at 12-51%. 2-4,6 Nevertheless, ... consecutive patients undergoing two-stage non-traumatic BKA between 2015 and 2021 were identified retrospectively via CPT code and confirmed by chart review. At our institution, both vascular surgeons and acute care surgeons manage …

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.A guillotine ankle amputation is an open type of amputation that involves surgical cutting of all of the tissue from the skin to bone at the level of the ankle. Because this surgery is performed without closure of skin, it is known as open surgery. A guillotine ankle amputation is performed to treat infection and remove drains from the surgical ...It also states in our CPT guidelines state that "Debridements are reported by the depth of tissue that is removed and by the surface area of the wound." (PG 79, 2020 CPT book) An active problem list can be appropriate for a chronic condition unless stated that this no longer an issue. 0 N. nicoleysmith Networker. The Current Procedural Terminology (CPT ®) code 27884 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. The area is drained and debrided of infected bony and soft tissue. The physician irrigates the are with antibiotic solution, the periosteum is closed over the bone, and the soft tissues are sutured closed, or the wound is packed and left open, allowing the area to drain. T.HCPCS. L-Codes. Braces; trusses; and artifical legs, arms, and eyes are covered when furnished incident to a physician’s services or on a physician’s order. A brace includes rigid and semirigid devices used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the ...

Answer: If that is the extent of the procedure, then you would report 27880 (Amputation, leg, through tibia and fibula) with modifier LT (Left side) or RT (Right side) appended to indicate laterality. During a 27880 amputation, the surgeon amputates the leg below the knee, through the bones in the lower leg, to relieve pain and/or remove ...Coding Abscess Procedures. For incision and drainage (I&D) of superficial abscess at any location, turn to 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle or paronychia); simple or single or 10061 …complicated or multiple. As specified in the code descriptors ...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]).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.Osseointegration is the scientific term for bone ingrowth into a metal implant. An artificial implant is permanently, surgically anchored and integrated into bone, which then grows into the implant. Osseointegration is most commonly used in dental implants and joint replacement surgery. It has been very successful in these uses for decades.Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. These Current Procedural Terminology codes are used to document an...

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Tendon Transfers / Tenodesis CPT Codes. MCP Sagittal Band Reconstruction. 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-plasty, elbow, eg, Steindler type advancement) (24330) Flexor ...Get ratings and reviews for the top 11 gutter companies in Annandale, VA. Helping you find the best gutter companies for the job. Expert Advice On Improving Your Home All Projects ...(BKA) is the most common level of major ampu - tation and involves surgically removing the foot, ankle, and distal tibia and bula, along with related soft tissue structures. The vast majority of patients undergoing a BKA have greater func-tional outcomes and a higher likelihood of ambu - lating with a prosthesis compared to theirProcedure: 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 …RETIRE Transtibial Below the Knee Amputation (BKA) Amputations Updated: Oct 15 2019. Below Knee Amputation. Orthobullets Team , US. Below Knee Amputation. Comments. 3 TECHNIQUE STEPS 0 % 0. 0 Preoperative Patient Care A. Intermediate Evaluation and Management. 1. Obtain focused history and performs focused exam ...

Need a CPT code for this same foot. Has anyone coded for this before ? K. kumar_sanjeev02 Contributor. Messages 20 Best answers 0. Apr 6, 2011 #2 hi Hi Carol; revision amputation can also considered as amputation so 28810 is the code to report metatarsal amputation. hope this will help. Regards Sanjeev . P. purplescarf23 Networker.Over 185,000 limb amputations are performed in the United States annually, many of which are due to the sequelae of peripheral vascular disease. Symptomatic neuromas remain a significant source of postamputation morbidity and contribute to both phantom limb (PLP) and residual limb pain (RLP). While many interventions have been … 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-amputation” and is reported by CPT code 27886. Similarly, an AKA converted to a higher AKA requires CPT code 27596. Finally, hip disarticulation is reported by CPT code 27295. Regional anesthesia for below-knee amputation (BKA) is an important analgesic modality. Preoperative regional anesthesia allows attenuation of the surgical stress response and decreases intraoperative …The TMA is considered preferable to amputation through the hindfoot or traditional below knee amputation (BKA) and is generally accepted as an effective salvage procedure in cases of forefoot infection, gangrene, and chronic ulceration. The primary advantage is the preservation of a viable weight-bearing platform allowing early …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 …In the ever-evolving landscape of healthcare, accurate and efficient medical coding is crucial. One important aspect of medical coding is understanding and utilizing Current Proced...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 ...

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 ...

Wound care debridement codes. 11042—11047 Use these codes when the only procedure performed in wound debridement. 11042 – Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less. + 11045 – each additional 20 sq cm, or part thereof (List separately in addition to code for primary …Aug 4, 2020 · At 6-month follow-up these percentages dropped to 58.0% and 25.2%, respectively, for all patients. For patients who were ambulatory pre-operatively, 182/246 (73.9%) of BKA and 32/51 (62.7%) of AKA remained so post-amputation. Of those patients with both 6-month and greater than 1-year follow-up, there was no change in ambulatory status between ... 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 …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 …Methods. A retrospective cohort analysis was done using the Mariner dataset of the PearlDiver patient records database from 2010-2019. 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 …From January 1, 2008 to December 31, 2018, 138 patients undergoing BKA were retrospectively identified using CPT codes for BKA (27880, 27881, and 27882). Twenty-eight percent (38) underwent amputation as treatment for traumatic injury, 57% (79) for infection, and 15% (21) for malignancy (Table (Table1). 1). A total of 17% (23) had a final ...Tortilla Mexican Grill News: This is the News-site for the company Tortilla Mexican Grill on Markets Insider Indices Commodities Currencies Stocks

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Answer: Technique differentiates leg amputation codes (27880-27882). The most commonly performed procedure is coded as 27880 (Amputation, leg, through tibia …Annville, PA. Best answers. 0. Feb 5, 2013. #1. I am looking for a cpt for above the knee amputation, this patient had a below the knee amputation (cpt 27880) done approx 2 mos ago. dx: nonhealing wound cellulitis. J.In the world of medical billing and coding, accuracy is crucial. One small error in assigning a Current Procedural Terminology (CPT) code can lead to significant consequences, incl...A new survey from Printify shows about one-third of its users and small business owners are more willing to take risks than they were prior to the pandemic. If you buy something th... ICD-10-CM Diagnosis Code S48. Traumatic amputation of shoulder and upper arm. traumatic amputation at elbow level (S58.0); An amputation not identified as partial or complete should be coded to complete. ICD-10-CM Diagnosis Code Z89.521 [convert to ICD-9-CM] Acquired absence of right knee. Jul 31, 2013 · Revision 118635009. Revision of below knee amputation stump 609217001. SNOMED CT Concept 138875005. Procedure 71388002. Procedure by method 128927009. Limb operation 363187007. Surgical procedure on lower extremity 107784002. Operative procedure on lower leg 545001. Revision of below knee amputation stump 609217001. 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 …Aug 20, 2020 · From January 1, 2008 to December 31, 2018, 138 patients undergoing BKA were retrospectively identified using CPT codes for BKA (27880, 27881, and 27882). Twenty-eight percent (38) underwent amputation as treatment for traumatic injury, 57% (79) for infection, and 15% (21) for malignancy (Table (Table1). 1). A total of 17% (23) had a final ... This standard of care applies to any patient after a lower extremity (LE) amputation, including transfemoral (above-knee amputation or AKA), transtibial (below-knee …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 KUB2 view KUB/Erect 3 or more views Bone Age Scanogram Skeletal Survey ...The purpose of the coding sheet is to provide a high-level overview to support practices in there coding and reimbursement for 2018. What is an Esophagogastroduodenoscopy (EGD)? It is an endoscopic procedure that visualizes the upper part of the gastrointestinal tract up to the duodenum. CPT© codes in this series (43235-43259) identify ... ….

Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine ARTICLE: Absence of Humoral Response After Two-Dose SARS-CoV-2 Messenger RNA Vacci... 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. Question: A patient had bilateral above-the-knee amputations. Two weeks later, he was returned to the operating room because one of the stumps was infected. The wound was opened, and the following services performed: purulent drainage, debridement of necrotic tissue, irrigation of the femur stump, and reapproximation of a portion of the muscle over the end of the stump.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.Targeted reinnervation for the below-knee amputee has been performed on 22 patients at the authors' institution. Each patient has been followed on an outpatient basis for 1 year to evaluate symptoms of neuroma or phantom limb pain, patient satisfaction, and functionality. All subjects have denied neuroma pain following amputation.Jul 31, 2013 · Revision 118635009. Revision of below knee amputation stump 609217001. SNOMED CT Concept 138875005. Procedure 71388002. Procedure by method 128927009. Limb operation 363187007. Surgical procedure on lower extremity 107784002. Operative procedure on lower leg 545001. Revision of below knee amputation stump 609217001. Implantable Hand and Feet Prosthetics. L8670-L8670. Vascular Implants. L8678-L8689. Implantable Neurostimulators and Components. L8690-L9900. Miscellaneous Orthotic and Prosthetic Services and Supplies. HCPCS Code range (L5000-L9900), Prosthetic Procedures, contains HCPCS codes for prosthetic procedures, Partial foot,shoe …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 ...Jun 13, 2018 · 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 ... The physician first removes the surgical sutures or staples and/or makes additional incisions into the skin. The wound is drained of infected fluid. Any necrotic tissue is removed from the surgical site and the wound is irrigated. The wound may be sutured closed or packed open with gauze to allow additional drainage. Bka cpt, 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., ICD-10-CM Diagnosis Code S48. Traumatic amputation of shoulder and upper arm. traumatic amputation at elbow level (S58.0); An amputation not identified as partial or complete should be coded to complete. ICD-10-CM Diagnosis Code Z89.521 [convert to ICD-9-CM] Acquired absence of right knee., 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 ..., Kathryn A Collins, MD, PhD, FACS. Literature review current through: Mar 2024. This topic last updated: Nov 29, 2022. INTRODUCTION. Lower extremity …, 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:, Annville, PA. Best answers. 0. Feb 5, 2013. #1. I am looking for a cpt for above the knee amputation, this patient had a below the knee amputation (cpt 27880) done approx 2 mos ago. dx: nonhealing wound cellulitis. J., Discover five elements of the perfect cold email, as well as expert examples to go along with each one. Trusted by business builders worldwide, the HubSpot Blogs are your number-on..., 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)?, General Principles of Amputation Surgery. Chapter Two, "General Principles of Amputation Surgery", by Douglas G. Smith, MD, from the Atlas of Amputation and Limb Deficiencies (1). Available with permission from the American Academy of Orthopaedic Surgeons. Arms and legs, hands and feet: These unique and wonderful extensions of our bodies allow ..., Benign-appearing ulcer at the BKA stump. It was excised, debrided, and closed primarily. DETAILS OF THE PROCEDURE: The patient is a 68-year-old female with prior below-knee amputation, developed a necrotic wound and ulcer. She was consented for surgery, brought to OR in supine position, sedated, and intubated without complication. …, A below-the-knee amputation (BKA) is the surgical removal of the leg below the knee. Skip to the content. Locations Toggle Sub-menu. Hospital & Medical Centers, With BKA, the patient should be monitored closely for any evidence of flexion contracture at the knee. If contracture is developing, a posterior splint can be used to keep the knee straight. Some surgeons prefer to use a rigid removal cast dressing in the initial postoperative period to protect the stump and help prevent flexion contracture., 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)., Ogden Center. 1486 East Skyline Drive So. Ogden, UT 84405 / Suite 100. P (801) 475-4552 F (801) 475-4578 MountainMedical.com., Continuing Education Activity. A below-knee amputation (BKA), or below-the-knee amputation, is a transtibial amputation that …, Read chapter 2 of The Color Atlas of Physical Therapy online now, exclusively on AccessPhysiotherapy. AccessPhysiotherapy is a subscription-based resource from McGraw Hill that features trusted PT content from the best minds in the field., The Current Procedural Terminology (CPT ®) code 27882 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. , It also states in our CPT guidelines state that "Debridements are reported by the depth of tissue that is removed and by the surface area of the wound." (PG 79, 2020 CPT book) An active problem list can be appropriate for a chronic condition unless stated that this no longer an issue. 0 N. nicoleysmith Networker., Policy. Regenerative peripheral nerve interface (RPNI) is a novel approach to minimize the development of painful neuromas after limb amputations, such as below knee amputation (BKA) or above knee amputation (AKA). It is based on the premise that the proximal cut end of a nerve will attempt to grow and reinnervate a target; if not …, General Principles of Amputation Surgery. Chapter Two, "General Principles of Amputation Surgery", by Douglas G. Smith, MD, from the Atlas of Amputation and Limb Deficiencies (1). Available with permission from the American Academy of Orthopaedic Surgeons. Arms and legs, hands and feet: These unique and wonderful extensions of our …, 63. Location. Chino, CA. Best answers. 0. Jul 5, 2012. #1. I need some assistance, does anyone know if you can report a myodesis seperately or if it is inclusive with the BKA cpt code 27880?? Thank you., 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. , May 17, 2023 · 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 ... , Dec 19, 2016 · 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 ... , 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..., 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 …, Definition of BKA. Medical Editor: Melissa Conrad Stöppler, MD; home medical dictionary. BKA: Acronym standing for "below knee amputation." BKA is as opposed to AKA (above knee amputation). From . Healthy Resources. 10 Rheumatoid Arthritis Symptoms; High-Risk Myelofibrosis: Treatment Options;, AMA CPT® Code: Notes / Synonyms: ICD-9 Cross Reference 27487 (removal and replacement of TKA in a single stage) 27488 (removal of TKA) use for removal of prosthesis for initial stage in staged revison. 11981-58,51 (insertion, nonbiodegradable drug delivery implant) 27447-58,22 (second stage of revision TKA), 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., INTRODUCTION. Neuroma-related residual limb pain and phantom limb pain (PLP) following amputation remain a challenge. 7 Neuromas represent a cut nerve’s attempt at regeneration, which without a receptive end organ results in disorganized axonal sprouting. 8 PLP is the perception that the missing limb is still present and is …, A below-knee extending (BKA), or below-the-knee amputation, is a transtibial amputation ensure involves removing the foot, ankle joint, distal tibia, fibula, both corresponding soft tissue organizations. Lower extremity amputating serves as a life-saving how. Lower limb ischemia, peripheral arterial condition, and medical are considered the ..., AMA CPT® Code: Notes / Synonyms: ICD-9 Cross Reference 27487 (removal and replacement of TKA in a single stage) 27488 (removal of TKA) use for removal of prosthesis for initial stage in staged revison. 11981-58,51 (insertion, nonbiodegradable drug delivery implant) 27447-58,22 (second stage of revision TKA), 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.