Wiki coding procedure for nonunion, internal fixation

[plarabee]

Good Morning

I have a question for all you orthopedic coding guru's out there. Patient was referred to one of our doctors due to a nonunion of the clavicle. Patient had previously had reduction with internal fixation done by a different doctor. Our doctor did surgery - basically debrided the bone and tissue and did a pinning and internal fixation. Where there is no code for repair of a nonunion of the clavicle, would it be appropriate to use 23515 or should it be coded as an unlisted? I need this information ASAP! Thanks.

 

[scooter1]

I have heard of using 23480 and 23485 for non union of clavicle. Without the report it
would be hard to say whether or not it is appropriate in your situation.

 

[plarabee]

Thank you! This is what I was looking for but was stuck on the fact that it was a fracture and did not look at osteotomy.