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Thread: Reduction and percutaneous Rush pins insertion

  1. #1

    Default Reduction and percutaneous Rush pins insertion

    AAPC: Back to School
    Dr. performed reduction and percutaneous rush pins insertion on open fracture of humeral neck.

    What is a "rush pin considered?" What code would cover?


    Kim, CPC

  2. #2


    Percutaneous Fixation for fracture of the Humeral Neck would be coded with CPT Code 23615...my bad I miss read what you was asking. I am with Mbort on this one, per the Op Report.
    Last edited by KimberlyLanier; 06-30-2009 at 07:44 AM.

  3. #3

    Default Proximal Humeral Head Rush Rods considered Percutaneous Fixation?

    Thank you but, 27235 is for femural neck.

    I know the open codes and closed codes for the humeral neck, but this a perc rush rod placement and I just want to make sure this would be the same thing as perc fixation. I also want to know how to code this since there is no code for perc fixation of humeral neck.

    Thanks in advance,

    Kim, CPC

  4. #4
    Join Date
    Apr 2007


    a rush rod is an IM nail--not a perc pin

    Rush rod
    Orthopedics An unreamed intramedullary rod with a chisel-like tip, and is commonly used for fibular shaft fractures, and occasionally in other tubular bones as well.
    McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

  5. #5

    Default Here is the Op... How can this be billed?

    Dx: Grade 2 open fracture of proximal humerus on left side.

    Operation: Debridement, reduction, and percutaneous Rush pins insertion, open fracture left arm (humeral neck)

    We explored the fracture briefly, and it did definitely go all the way to the Bone. There was a large spike anteriorly.

    It was very unstable. There was no way that it was going to hold without some sort of fixation. I felt that she would be better off Even a provisional fixation just to hold things while it healed.

    Her wound was washed out with 6000 ml of sterile saline. Then under fluro guidance, we put two Rush pins down the humerus pins went down through the proximal fragment and then across the fracture, into the long distal shaft fracture fragment. At first pass, they were not quite well positioned as I liked, so they were both pulled out and realigned. I felt the final positing was satisfactory for her to heal this fracture.

  6. #6
    Join Date
    Apr 2007


    look at 23615

  7. #7
    Join Date
    Apr 2007


    Quote Originally Posted by mbort View Post
    look at 23615
    what code would you use for closed reduction and rush rod fixation humerus? 23615 or 24516? Unsure.........any help appreciated

  8. #8
    Join Date
    Apr 2007

    Default ? code fluoroscopy?

    When billing for 24516, can you also bill for fluoroscopy or is it included in procedure?

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