lmcreynolds@aoamail.net
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Hello,
My doctor operated on a patient who has a history of colon and breast cancer who presents with a pathologic midshaft fracture of her femur. She did have an intertrochanteric fracture of the same femur in 2013 and at that time underwent stabilization with a long trochanteric fixation nail without distal interlocking screws. She now presents with this fracture being well traversed by the intramedullary nail but having rotation instability due to this fracture and the lack of the interlocking screws distally. His operative procedure description is "Stabilization of the right pathologic femur shaft fracture with interlocking of previously placed intramedullary device"[/COLOR]. And in the body of the op note it states "Using a perfect circle technique distally through percutaneous stab incisions two statically placed interlocking screws were placed in the distal aspect of the nail adequately interlocking the nail within the femur". Basically, the nail was already there in the femur and he added screws to it to stabilize it.
I wanted to double check the CPT code. 27495 was what we came up with.
Thanks for your help.
Lorie
My doctor operated on a patient who has a history of colon and breast cancer who presents with a pathologic midshaft fracture of her femur. She did have an intertrochanteric fracture of the same femur in 2013 and at that time underwent stabilization with a long trochanteric fixation nail without distal interlocking screws. She now presents with this fracture being well traversed by the intramedullary nail but having rotation instability due to this fracture and the lack of the interlocking screws distally. His operative procedure description is "Stabilization of the right pathologic femur shaft fracture with interlocking of previously placed intramedullary device"[/COLOR]. And in the body of the op note it states "Using a perfect circle technique distally through percutaneous stab incisions two statically placed interlocking screws were placed in the distal aspect of the nail adequately interlocking the nail within the femur". Basically, the nail was already there in the femur and he added screws to it to stabilize it.
I wanted to double check the CPT code. 27495 was what we came up with.
Thanks for your help.
Lorie