CPT^® 24430, Under Repair, Revision, and/or Reconstruction Procedures on the Humerus (Upper Arm) and Elbow

The Current Procedural Terminology (CPT^®) code 24430 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Humerus (Upper Arm) and Elbow.

Additional/Related Information

Tabs

Summary

In this procedure the provider treats a nonunion or malunion deformity in the upper arm by cutting the undeveloped or improperly grown bone and fixing it by pulling together the ends.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 24430 ? Start a discussion here

Proximal humeral malunion/nonunion

[LIST] [*]23616 = doesn't necessarily mean "acute fracture." [I][SIZE=3](The anatomical neck is the portion of the humerus that separates the greater and lesser tubercles from the humeral head, or the... [ Read More ]

Proximal humeral malunion/nonunion

Hi all - Recently I have come along a couple of situations where the provider is taking a patient to surgery for a hemi-arthroplasty due to malunion or nonunion. Provider wants to bill 23616, however... [ Read More ]

24515 vs 24430

[QUOTE="Orthocoderpgu, post: 480524, member: 29238"] Your doctor has documented this as a non-union in both the diagnosis section of the op note, and the body of the op note. Code 24430 is supported. ... [ Read More ]

24515 vs 24430

[QUOTE="suchang78, post: 480518, member: 502881"] DX: left humerus shaft fracture nonunion ( injury was in 2019) Procedure: open reduction, internal fixation of left humeral shaft nonunion. Debrideme... [ Read More ]

24515 vs 24430

DX: left humerus shaft fracture nonunion ( injury was in 2019) Procedure: open reduction, internal fixation of left humeral shaft nonunion. Debridement left humeral fracture. A longitudinal incision... [ Read More ]

How to code a non-union

Greetings and Salutations! I would code 24430 since the diagnosis is nonunion of a fracture. (24516 is treatment of an acute fracture and would require an "8" code and a date of injury). The reaso... [ Read More ]

How to code a non-union

I need some help in coding this surgery correctly. All help would be appreciated! PREOPERATIVE DIAGNOSIS: Left humerus fracture delayed union with soft tissue interposition. POSTOPERATIVE DIAGNOSIS... [ Read More ]

29828? 29822? 29827? Tia

[b]My 2 cents[/b] I don?t see where the surgeon actually did the debridement of the Labrum through the arthroscope, so no to 29822. The SLAP Lesion was done open so no to 29827. I say 24430, modi... [ Read More ]

CPT help needed for Nonunion/Malunion fx

[QUOTE="krachow1, post: 282633, member: 32251"]Neither, use CPT 24430: "repair of nonunion or malunion, humerus, without graft". The injury is no longer an acute fracture so billing for fracture repa... [ Read More ]

CPT help needed for Nonunion/Malunion fx

[b]Cpc[/b] Neither, use CPT 24430: "repair of nonunion or malunion, humerus, without graft". The injury is no longer an acute fracture so billing for fracture repair would not be appropriate. The a... [ Read More ]

View All