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Wiki Dbx bone graft

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hbair99

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When a cpt code, for example 21147 lefort 1, 3pc, states with bone graft, does dbx or dbm (demineralized bone matrix) constitute with bone graft. I bill for the professional/surgeon in this scenerio. I think that the dbx/dbm is a product that the facility will bill for (hcpcs) but does not constitute application/harvesting of bone graft. I have looked for information regarding this and haven't found anything concrete. Any thoughts, thanks!!!!
 
The facility would code for the dbm, but not the placement, since the surgeon does placement. Is placement bundled? I do not find a code for dbm placement, outside of spine allograft.
 
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