Nonunion proximal humerus ORIF with allograft

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Hi fellow coders.

I am trying to figure out the best code for this; The physician reported hmerus takedown nonunion, humeral shaft ORIF with allograft.

I have no idea where he is going with this one. At first I thought 24525 but did not know how to code the allograft.

Thank I was thinking about 24435 but that is with autograft.

Any ideas would be greatly appreciated.

Have a great weekend.

Denise
 

jdemar

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24430, the allograft is included, unless your Dr. thinks it was over and above the normal repair and spent more time, etc....you might be able to add a -22 modifier, but you have to be certain that the operative notes specifies such. The only allowable allograft I know to be billed and may be reimbursed is for the SPINE only.
 
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