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27125 vs 27236 - One of our doctors did a bipolar replacement

  1. #1
    Unhappy 27125 vs 27236 - One of our doctors did a bipolar replacement
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    One of our doctors did a bipolar replacement with a subcapital fx as the diagnosis. What's the difference between 27236 & 27125, they sound the same to me. Is one suppose to be planned?

  2. #2
    Default
    Code 27236 when there is a fracture, as stated in the definition. Use 27125 when the bipolar/hemi is done for other reasons, such as osteoarthritis or maybe non-union of an old fracture.

  3. #3
    Default
    Thank you, that's exactly how I always bill it. Just so happens a coworker of mine made me second guess myself. I though maybe she knew something I didn't... guess not.

  4. Default Vs ?
    Exactly was does the "versus" mean? And where can I find this.

    Example: Primary progessive aphasia versus frontaltemporal dementia.

    Which would you code and why or could you code either? This is for a PET/CT. 78608.

    Thank,
    MLM

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