Results 1 to 4 of 4

Expert: Vascular bone graft

  1. #1
    Question Expert: Vascular bone graft
    Medical Coding Books
    Hello All,
    I need an expert on this one. Doctor performed a Non-union repair w/radial styloidectomy and vascualrized bone graft, left scaphoid. I've researched everywhere to verify if they are inclusive & can't find anything. My question is can I bill 25440 & 25430-59 or is there another way.

    Thanks in advanced for any help.

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    The code 25440 includes obtaining the graft therefore you should not be billing the 25430.(of course this opinion is rendered without seeing the op note).

  3. #3
    Unhappy
    I understand that the bone graft is included but CPT 25430 is the insertion of vascular pedicle into the carpal bone. That's exactly what the OR states, now per Medicare CCI edit this is billable with the -59. And there is no mention of this being inclusive per the AAOS Codex.
    The OR states:
    "No fracture; Nonunion taken down & resected; Vascularized graft was taken with cancellous bone packed in. This was held with a K-wire. Under direct supervision it was placed in the bone."

    Now, with this being an insertion not a graft can I still bill it?

    Thanks

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I would still stick with my original comment, I think it is all inclusive. I would chose one or the other but not both codes.

Similar Threads

  1. Need an Expert Vascular Coders Help
    By PbiLinda in forum Cardiology
    Replies: 5
    Last Post: 06-15-2017, 11:08 AM
  2. exploration of vascular graft
    By akj in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-10-2014, 10:38 AM
  3. Vascular Bone Graft for Kienbock's disease
    By tmeddaugh@yahoo.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-17-2013, 10:15 AM
  4. Bone Graft of both bone tunnels (Knee)
    By kibbit99 in forum Orthopaedics
    Replies: 4
    Last Post: 07-22-2009, 12:42 PM
  5. Bone Graft
    By thlhun in forum Outpatient Facilities
    Replies: 0
    Last Post: 05-07-2009, 09:55 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.