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HELP! Removal of Bone Substitute

  1. Default HELP! Removal of Bone Substitute
    Medical Coding Books
    This patient had a bone cyst removed and a bone substitute was utilized after the craterization procedure. The bone substitute was meant to be permanent. 3 weeks later, the patient has developed a staph infection. "......The previous surgical incision was opened. Purulent material was noticed. This tracked down to the ulna where the bone graft was performed. Deep cultures were obtained. All bone graft material was removed. Over 6 liters of fluid, 3 with Bacitracin were used for irrigation. The incision was then closed over a Penrose drain." I am looking at CPT code 25145-78. I did not feel that 11044 was appropriate since OP note does not mention any type of debridement at all. Please advise.

  2. #2
    Default
    After much research, I can only say that I would code an Unlisted Procedure due to the fact that there is not a description in the CPT for this procedure.

    Hope this helps
    Amy Pritchett,
    BSHA, CPC, CPMA, CPC-I, CDEO, CANPC, CEDC, CASCC, CRC, CMDP, CMPM, CCS, CMRS, C-AHI, ICDCT-CM, ICDCT-PCS
    2017-2018 Secretary of Local Mobile AAPC Chapter
    2015-2016 President of Local Mobile AAPC Chapter

  3. Default
    Thanks so much for all your help! Would you compare the unlisted code it to code 25150?

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