![]() ![]() The above CPT is for the repair of the nonunion regardless of the method so the osteotomy would not be separately billable. Medical illustration (CPT 25607): A 40 year older woman falls while dancing and sustains a displaced extra-articular metaphyseal fracture of the distal radius. The injury is no longer an acute fracture so billing for fracture repair would not be appropriate. CPT 25608 indicates fractures require fixing of one or two segments, and code 25609 indicates fractures requiring fixation of three or more fractures. Treatment may be nonoperative for nondisplaced fractures but any displacement generally requires anatomic open reduction and internal fixation. Diagnosis is made using plain radiographs of the elbow. 24685 -open treatment- includes internal fix when performed, I think the key here is when. Capitellum Fractures are traumatic intra-articular elbow injuries involving the distal humerus at the capitellum. In CC-Orthopaedics, Coding Coach Previous Link Multiple Procedure Payment Formula Next Link Multiple Lesion Excisions. Neither, use CPT 24430: 'repair of nonunion or malunion, humerus, without graft'. My thoughts are 24666 -radial head replacement for fracture. ESTIMATED BLOOD LOSS: 30 cc FLUIDS: Per anesthesia record FINDINGS: Displaced intracapsular radial head/neck fracture. Left coronoid process fracture excision SURGEON: ASSISTANT: ANESTHESIA: LMA. ![]() *This response is based on the best information available as of 03/01/18. Left radial head replacement ( SBI, modular ). In this particular case, the annular ligament and lateral collateral ligament complex must be incised to perform the radial head insertion, and even if it was torn by the injury (fracture), its surgical repair is still included with the CPT code 24666. They would like to be paid for tissues that are divided during the approach used to perform the procedure. This gets to the issue that troubles many surgeons. As such, it is inappropriate to bill for second code. ![]() When reviewing the GSD, it clearly states that CPT 24343 is included with this procedure. Can we use this code combination?Īccording to AAOS – Global Service Data GSD) – CPT 24666 (Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed with radial head prosthetic replacement) is the primary code to address this problem. ( 98 ) 10 Topic Podcast Images summary Capitellum Fractures are traumatic intra-articular elbow injuries involving the distal humerus at the capitellum. We received an inquiry from a client where the surgeon wanted to report the repair of the elbow lateral collateral ligament (CPT 24343) along with radial head replacement surgery (CPT 24666) when used for addressing radial head fracture. ![]()
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