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Thread: Intercondylar fracture elbow

  1. #1

    Default Intercondylar fracture elbow

    AAPC: Back to School
    Could someone direct me a little with this coding situation? Doctor did and ORIF of an intercondylar elbow fracture with olecranon osteotomy. The code I keep going back to for the fractue is 24579, but I have not been able to find anything for the olecranon osteotomy. Thanks for whatever help anyone can provide.

  2. #2

    Default Intercondylar fracture elbow

    Hi Kae,

    Just thinking out loud here...I'm leaning towards the doc having had to remove a portion of the olecranon to access the fracture (?) - this would be the olecranon osteotomy and if I am correct, then it becomes integral to the overall procedure that he/she is performing...hence, no coding or charging for this.

    It's kind of like driving on a road with no exit ramps...you have to go from the beginning to the end. If a tree falls across the road, you are obligated to remove it to continue on your journey...

    Hope this is at least a little bit helpful.

    Have a good evening,


  3. #3


    Thank you very much. Your analogy made the whole picture very clear.

  4. #4

    Default Intercondylar fracture elbow

    LOL - you are VERY welcome - I believe in keeping things as simple as possible because that is the only way to make an impression. I coded Orthopaedic Surgery for 15 years and I miss it...so, watching the forums kind of keeps me in the loop.

    Have a wonderful day


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