CABG/Internal sternal plate closure

Garner, NC
Best answers
On morbidly obese patient's my surgeon will close the sternum sometimes with internal sternal fixation with Biomet microfixation sternal lock blue plates after a CABG or valve replace/repair procedure. Am I thinking correctly that this complex closure of the sternum
is bundled in with the CABG and valve codes?? If I am wrong in my thinking can someone advise me on how to code for this type of closure? Thx!! :confused:
Because this is a more extensive repair than what is usually required, it should not be bundled with the CABG codes. I was advised by our coding consultant to use 21825 to code these and no modifier is necessary. I always send in the op note with the claim when I use this code and I have never had a problem.

Thanks soooooooo very much for your help on this!! I actually did more research and came up with the 21825 code. Not sure I understand why there is no need to append a modifier though... I was thinking 22 and 51 would be appropriate??
You can append the 51 modifier, but if you don't the insurance company will do it for you. I have never used the 22 on these because adding the 21825 code describes the additional work that was done. I don't really think it would be wrong or right to add the 22. Does that make sense?!