The patient has a trimalleolar fracture. How would you code for an open reduction and internal fixation of the lateral malleolus and a closed reduction of the medial and posterior malleolus? I've read different answers to this scenario, and would like your opinion.
I would use 27822 with a 52 modifier. Closed reduction of a trimalleolar fracture is CPT® 27818 and it's bundled w/27822, so both can't be billed at the same session. The 52 modifier will show that not all components of 27822 were performed.