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Re-Amputation vs Secondary Closure following a Guillotine Amputation

Date: May 26, 2021

Question:

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)? This question has arisen due to the description of the re-amputation states that bone is resected, and this is not in the description of the secondary closure. If the guillotine is at the ankle, would it be more appropriate to bill a straight below-knee amputation code (27880)?

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