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27592 vs. 27596

Date: Mar 23, 2020

Question:

We have a patient who had an above-knee amputation (27590) one month ago, but then came back due to infection and had a revision, although they are doing a guillotine type revision being left open at the end of the case. The patient went back to the operating room five days later and had another revision with more bone, but this time it was closed. Would we code both revisions as 27596-78, or the first revision as 27592 and second revision as 27596?

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