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Wiki Ganz Hip PAO

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butterfly13

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What code would be appropriate for a hip periacetabular osteotomy procedure? CPT 27146 is described as an osteotomy of iliac, acetabular, or innominate bone. In a PAO the ilium, ischium and pubis bones are involved, which are the bones that make up the innominate (hip) bone. However, I am finding conflicting information on the use of CPT 27299 vs. 27146 for this procedure.
Any advice and references available would be helpful.
Thank you.
 
I have had success billing the 27299 with compare to code of 27146. But I also have had success with 27146 with 4 units (since it's 4 cuts).
 
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