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Wiki Mandibular Fractures

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bostonmom

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Toledo, OH
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Please help, I need help in coding the surgery for the fracture repair.

DX:
1. left mandibular angle fracture - S02.652A
2. right parasymphysis mandibular fracture - S02.69XA

Procedures:
1. Open reduction internal fixation of left mandibular angle fracture - CPT code 21470
2. Open reduction internal fixation of right parasymphysis mandibular fracture - CPT code 21461

The doctor wants to use both codes for the surgery. But from my research, it looks like I can use the CPT code 21470, that will include both fractures. Plus, 21461 is inclusive with 21470.
21470 - open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation

Or should I do 21461 and 21461, 59 - one for each side (LT angle fracture and RT parasymphysis fracture)
 
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