Wiki Core decompression and grafting help

[HAPPYCODER]

I have a surgeon that did a bilateral core decompression with pro-dense bone graft of the hip for avascular necrosis. There isn't a code for this and we were thinking of using 27170???? We looked in the desk reference...and it refers to a non-union fx..is this just for non-unions?

 

[mbort]

Core decompression code is S2325. Here is a link that may help you with this as well:

http://www2.aaos.org/aaos/archives/bulletin/oct05/coding.asp

 

[martnel]

Mary, can you use S2325 in ASC setting? I used 27299 (unlisted) and BCBS advised us to use S2325 instead.

 

[mbort]

yes you can, it just depends on your contracts. The S codes are actually produced by BSBC so they almost always except them (if they are on your ASC contract list that is).

 

[martnel]

Okay, that's what was so strange to me, it is not on their list to us, but THEY advise us in written. Thanks!