Wiki 27303 coded with 20702 & 20703

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Okay I have the code 27303 which the Dr. wants coded. Also, wants to code 20702 & 20703. The problem is cpt code 27303 is not one listed as a qualifying code to go with 20702, 20703. Dr. did take out the spacer intramedullary though. Any thoughts on this case?
Thanks,
 
There is not enough information here to help you. If you are trying to report an add-on code with no parent code, you cannot.
We would need to know the op report information. What was the reason the original abx spacer was put in? Nonunion w/ infection, was there an open fx? Is the knee joint or hip joint involved at all?
 
Okay so the patient had a open femur shaft fracture from a gunshot. Patient developed an intercalary defect where the fracture is. In the original surgery, Dr. repaired the nonunion without graft 27470 with a partial excision/diaphysectomy of the femur 27360. Dr. inserted a nonabsorbable intramedullary anitiotic cement spacer 20702. Now in the second surgery Dr. is taking a bone biopsy/incision femoral cortex 27303, removal of intramedullary antibiotic cement spacer 20703 & implantation of intramedullary antibiotic beads 20702. Now the 27303 code is not listed as a qualifying code to be used with 20702 & 20703, so I am thinking about omiting these two codes. Patient has no infection. I do not usually code for the Dr. taking out a spacer if fixation or repair is at the same spot. Would you just omit the two codes or any suggestions to capture the bead placement?
Thanks,
 
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