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The procedure described by CPT® Code 27860 involves the manipulation of the ankle joint while the patient is under general anesthesia. This manipulation is specifically aimed at addressing issues such as fibrous adhesions and scar tissue that may have developed around the joint, which can restrict movement and cause discomfort. General anesthesia is utilized in this procedure to ensure that the patient remains completely unconscious and free from pain, particularly in cases where the patient may experience significant discomfort, muscle spasms, or guarding that would make the manipulation intolerable. During the procedure, the healthcare provider will perform a series of controlled stretches and articular maneuvers on the ankle joint. These actions are designed to break up any existing adhesions or scar tissue, thereby restoring the joint's mobility and improving its range of motion. The use of anesthesia not only facilitates the manipulation process but also enhances patient comfort and safety during the procedure.
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