lchiriac
New
Hello everyone,
I am looking for a second opinion for the following procedure. My suggestion for coding is 27513-22 (mod 22 for the additional work on lateral and shaft). Thank you.
"The femoral implant appeared to be well fixed to the distal femoral fragment. There was a separate fracture of the lateral condyle, which was a shell type piece which was easily lifted but was greater than 5 cm in diameter, was kept in place at this time. Attention was turned first to the supracondylar fracture of the femur just above the femoral prosthesis given the prosthesis had good fit. After assessment, this fracture line was first reduced and plated using a 2.7 mini frag plate. The lateral condyle fracture was then keyed in place and fixed separately with a K-wire at this time and advanced through to the medial side. The femoral shaft fracture was then lined up with block using a crab claw and the appropriate size plate was placed laterally to hold the femoral shaft fracture fragment in place. At this time, the screws were placed appropriately and in a combination of both cortical and locking screws."
I am looking for a second opinion for the following procedure. My suggestion for coding is 27513-22 (mod 22 for the additional work on lateral and shaft). Thank you.
"The femoral implant appeared to be well fixed to the distal femoral fragment. There was a separate fracture of the lateral condyle, which was a shell type piece which was easily lifted but was greater than 5 cm in diameter, was kept in place at this time. Attention was turned first to the supracondylar fracture of the femur just above the femoral prosthesis given the prosthesis had good fit. After assessment, this fracture line was first reduced and plated using a 2.7 mini frag plate. The lateral condyle fracture was then keyed in place and fixed separately with a K-wire at this time and advanced through to the medial side. The femoral shaft fracture was then lined up with block using a crab claw and the appropriate size plate was placed laterally to hold the femoral shaft fracture fragment in place. At this time, the screws were placed appropriately and in a combination of both cortical and locking screws."