bone lesion dx code help

laurabee

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I have a patient who underwent bilateral trochanteric nailing of both femurs because of patholgic lesions of the femur. I'm having a hard time finding the dx code for the bone lesions. Can anyone help me?
 

Frosty

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Looking up in the ICD-9 under "Lesion", then "bone", you'd get 733.90, which I think would work. Or maybe 733.99 if you actually know the problem, but it's not listed in ICD-9. If it's metastatic cancer, use 2ndary malignant neoplasm of bone (that is if it's documented in the op note). Also, are you using CPT 27187 or 27495 for prophylactic txmt-since there's not actually a fx?
 
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