Wiki Ortho op rep... Please Help code this!!

[ssebikari]

Preop/post op ddx elbow osteochondrosis dissecans.
The left elbow was prepped and draped in standard fashion. A lateral incision was made. We stayed anterior to the lateral collateral ligament so that we did not distabilize the elbow. We did an extensor split and then opened the capsule. The lesion was probed and it was found to involve an extensive area of the capitellum. Catillage was debrided. The edges were smoothed and we curreted the base of the lesion. Care was taken to make sure that the edges of the lesion were smooth.

Is the appropriate CPT 24110 or 11044?????(not sure though)....please confirm or give suggestion.
Any help with this is much appreciated. I haven't coded Ortho in a while.

 

[mbort]

I agree based on the documentation you posted.

Mary, CPC, COSC

 

[Chargail]

I'm not sure but based on what I read I think it would the 11044 code because
it says debridement associated with open fractures; skin, subcutaneous tissue, muscle, and bone.

 

[mbort]

I feel this is much more than the 11044 (which was added to the original post after or while I was responding) since he did the curette of the bone lesion there was bony work involved.

 

[ssebikari]

Yes, my original post only had 1 code because I was leaning towards the 24110. Thanks, that was helpful.