bostonmom
Networker
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)
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)