20924

CPT^® 20924, Under General Grafts (or Implants) Procedures on the Musculoskeletal System

The Current Procedural Terminology (CPT^®) code 20924 as maintained by American Medical Association, is a medical procedural code under the range - General Grafts (or Implants) Procedures on the Musculoskeletal System.

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Summary

A provider repairs damage to tendons and ligaments by harvesting graft material from tendons elsewhere in the patient’s body, such as the palmaris tendon in the palm of the hand, the toe extensor tendon in the toes of the feet, or the plantaris tendon in the ankle.

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CMC arthroplasty with tendon graft

Recently received denial from Humana stating 20924 is bundled with 25447. Please note below pasted information from Orthopedic Coder's Pink Sheet 2015 regarding tendon graft with CMC arthroplasty. Hu... [ Read More ]

30520 & 20912

[QUOTE="b.cobuzzi, post: 503460, member: 12103"] Alyssa, I see that notation in the Tips section of 20912 in Codify. But keep in mind, I am not sure who writes these tips, but it is not the AMA. But t... [ Read More ]

30520 & 20912

Alyssa, I see that notation in the Tips section of 20912 in Codify. But keep in mind, I am not sure who writes these tips, but it is not the AMA. But the AMA does indicate Range Specific Guidelines fo... [ Read More ]

30520 & 20912

[QUOTE="b.cobuzzi, post: 498337, member: 12103"] The septoplasty includes range guidelines that say: [B]Range Specific Guideline[/B] (For obtaining tissues... [ Read More ]

25447 and 20924

I am having trouble getting Humana to pay for the 20924-59 (tendon graft from a distance) . Humana is stating they are inclusive which is why modifier 59 was appended. Do anyone have any suggestions... [ Read More ]

30520 & 20912

The septoplasty includes range guidelines that say: [B]Range Specific Guideline[/B] (For obtaining tissues for graft, see [URL='https://www.aapc.com/codes... [ Read More ]

Codes 25215 & 20924 for Humana Medicare

[B]Code 25215[/B] 1) Has anyone had a problem with Humana Medicare for code 25215-59 (Carpectomy all bones proximal row) bumping against 25447 (Arthroscopy, interposition, intercarpal or carpometacar... [ Read More ]

Code 25215 and 20924

ACL REPAIR OF RIGHT KNEE; GRAFT FROM LEFT KNEE

[QUOTE="Orthocoderpgu, post: 479846, member: 29238"] I understand your frustration for sure. When you look at these two codes through the edits it shows that a modifier is not allowed. Usually grafts ... [ Read More ]

ACL REPAIR OF RIGHT KNEE; GRAFT FROM LEFT KNEE

I understand your frustration for sure. When you look at these two codes through the edits it shows that a modifier is not allowed. Usually grafts taken from a separate area is billable but not in thi... [ Read More ]

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