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Thread: proximal humerus w percutaneous pinning

  1. #1
    Join Date
    Apr 2007
    Columbus, Ohio

    Question proximal humerus w percutaneous pinning

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    Hello coders, I need your help. How do you find a cpt code for a closed reduction of proximal humerus with percutaneous pinning? The sugeon used the code 23615, which is open reduction. The notes say the fracture was reduced and then stab holes were used for the pins. Does this qualify as open? What code is normally used for this? Thanks, Paula

  2. #2
    Join Date
    Apr 2007
    Columbus, Ohio

    Default op notes added

    Hello coders, I decided to add the op note for the surgery. I still need help with a code for this:

    The patient was identified in preop holding both verbally and by his
    identification tag, transferred to the placed on the OR table in supine
    position. Anesthesia gave general anesthetic, secured airway. The
    patient's right proximal humerus was then addressed and his arm was
    prepped and draped in sterile fashion. Right arm was elevated and
    reduction was performed. Acceptable reduction was seen in 2 views. A
    2-0 Steinmann partially threaded pin was placed and placed across the
    fracture site and prior to the phthisis. Acceptable reduction was seen.
    He had stability. another Steinmann pin was made a stab hole anterior
    to this and through the stab hole Vita-Gel was placed in the fracture
    site for bone healing potential and hemostasis. The patient was stable
    with the one Steinmann pin throughout range of motion, both in the AP
    and lateral views. At this point, the Steinmann pin was bent, cut, and
    pin cap was placed. Xeroform was placed around a sterile dressing
    applied. He was transferred to PACU in stable condition. He
    will be discharged to follow-up with me in 10-14 days. Keep the
    immobilizer on and to be followed orthopedically outpatient.

  3. #3


    look at 23600 & 23605.

    Hope this helps!

  4. #4
    Join Date
    Apr 2007


    I would agree with the 23605 since there is pinning involved. Unfortunately because he used the word "stab" rather than "incision", he can not capture an open repair.

  5. #5
    Join Date
    Apr 2007
    Columbus, Ohio


    Thanks for the help, I wasn't sure the traction code could be used the same as the percutaneous pinning. I really appreciate all the help I get from the coders in this forum. You're the greatest! Thanks again, Paula

  6. #6


    What about using the open code with a 52 modifier? 23615-52, reduced service

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