Advanced Search

Orthopedic Coding Alert

READER QUESTIONS:

24341 Applies to Pectoralis Major ORIF

Published on Sat Feb 27, 2010

Question: An MRI of the shoulder and pectoralis showed a bony fragment with a pectoralis tendon inserting on it. Follow-up films showed a bony fragment within about 2 cm of the shaft of the humerus and the orthopedist diagnosed a bony avulsion of the pectoralis major tendon. What's the best way to code for a shoulder repair of a pectoralis major with a bone fragment attached?Maine SubscriberAnswer: Report 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary [excludes rotator cuff]). This is your most accurate choice because it pertains to the upper arm where the pectoralis muscle is located.Include 840.8 (Sprains and strains of shoulder and upper arm; other specified sites of shoulder and upper arm) as the diagnosis.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Orthopedic Coding Alert

View All