osteotomy

  1. kimmcelderry@gmail.com

    Wiki Laminectomy with foraminotomy of S2

    In addition to PSF, the phys states he performed a Ponte osteotomy L5-S1 and a laminectomy, facetectomy, foraminotomy of L5, S1 and S2. I know the 22212 is bundled with 63047 (L5-S1) But what about the S2? "Attention was directed towards the Ponte osteotomies at L5 S1 where there was...
  2. kimmcelderry@gmail.com

    Wiki Cervical osteotomy and fusion help

    The physician describes a Posterior Pedicle Subtraction osteotomy at C7. Also, extracavitary fusion C6-T1. I only see codes for 3 column osteotomies as thoracic or lumbar, same for the extracavitary fusion. Any suggestions? "After the instrumentation, I started C7 pedicle subtraction...
  3. M

    Wiki ORIF Metacarpal Malunion w/ Osteotomy

    Hello My provider performed a ORIF metacarpal malunion with osteotomy. My code choices are 26546 or 26565. The issue I'm having is I'm not sure if I can use 26546. The description for this code is for a nonunion and my procedure was performed on a malunion.. Thanks in advance. I then examined...
    • MI_CODER
    • Thread
    • malunion metacarpal nonunion orif osteotomy
    • Replies: 0
    • Forum: Orthopaedics
  4. K

    Wiki Tendon lenghtening with osteotomy

    I am in between codes 27685 vs. 28200. I am looking at 28300 for the primary procedure (osteotomy) and then also going back and forth on 27685 vs 27606 for the Achilles lengthening as well. My biggest issue is the approach seems to be the foot for the peroneus brevis tendon not the leg/ ankle...
  5. C

    Wiki Surgery for Medial Opening Wedge High Tibial Osteotomy w/allograft-Please help

    What codes would be used to bill what the provider has described as a Medial Opening Wedge High Tibial Osteotomy w/allograft interposition and a plate? Any insight would be helpful. Thanks
  6. C

    Wiki can CPT 22212 and 22214 be billed together? Ostetomy crossing areas

    Hi, I need some clarification on osteotomy coding. I've got 2 questions, please see below. I have a record that reflects Smith-Petersen osteotomies taking place at T10-T11, T11-T12, T12-L1, L1-L2. So I have 5 vertebra, 4 interspaces. The CPT description reflects "Vertebral segment", so I'm...
  7. K

    Wiki Chevron olecranon osteotomy and trochlear osteochondral allograft

    I am struggling with coding this olecranon case. I was expecting olecranon to be a part of the ulna... but the op report describes work in the region of the triceps so I am wondering if I am supposed to be interpreting this as part of the humerus? Once I get my geography straight, I still cant...
  8. B

    Wiki Help with leg shortening procedure

    I hope someone can help me with this ortho procedure. My provider removed a section of the tibia and fibula with osteotomies, fixed with an IM rod. I am looking at CPT 27709. Do I need to code the repair? This is the first time I've seen this surgery and I really need some help. Thanks :)
  9. dpopik@verizon.net

    Wiki Orthognathic surgery

    When billing for ortho surgery and using an assistant, does the 80 go on 21141? Or does the assistant get his own code with 80? I would think the 80 is amended to the original procedure code. We're also using 21196 with an assistant. Same question as above and am I adding 51? THANK YOU!!!
  10. C

    Wiki Plantar Plate Repair

    I've seen multiple threads about CPT coding for plantar plate repair done in conjunction with a Weil osteotomy, in which most people suggest using an unlisted code, while some recommend using 28313 or 28200. Does anyone have any professional articles or references related to coding a plantar...
    • Carol E
    • Thread
    • osteotomy plantar plate repair weil
    • Replies: 1
    • Forum: Orthopaedics
  11. M

    Wiki Question re: fusion with osteotomy codes

    Patient is having a lumbar pedicle subtraction osteotomy and fusion to correct the abnormality and spinal alignment. Why does it state in CPT under the Osteotomy header, "To report arthrodesis, see codes 22590-22632. (Report in addition to code[s] for the definitive procedure with modifier...
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