Wiki 24300 help

[dalanicks@aol.com]

dr. [performed a 24077 = radical resection of the left elbow, he want s to bill a 24300 - manipulation elbow under anesthesia I don't think that can be billed, in his op report he says manipulation of the elbow had been performed prior to to closure, improved range of motion was as note d. No flexion extension restriction was encountered, The patient is planned for simulation and then treatment by radiation therapy in order to avid recurrent heterotopic bone formation.
any advice would be appreciated

 

[shecodes]

Per AAOS -

How should the manipulation of joint codes be applied?

According to the National Correct Coding Initiative (chapter 1) as well as the AAOS GSD, manipulation of a joint is normally performed during the course of another (major) procedure and requires no additional reporting because it is considered inherent.

Per NCCI -

When it is necessary to perform skeletal/joint manipulation under anesthesia to assess range of motion, reduce a fracture or for any other purpose during another procedure in an anatomically related area, the corresponding manipulation code (e.g., CPT codes 22505, 23700, 27275, 27570, 27860) is not separately reportable.