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Nonunion proximal humerus ORIF with allograft

  1. Default Nonunion proximal humerus ORIF with allograft
    Medical Coding Books
    Hi fellow coders.

    I am trying to figure out the best code for this; The physician reported hmerus takedown nonunion, humeral shaft ORIF with allograft.

    I have no idea where he is going with this one. At first I thought 24525 but did not know how to code the allograft.

    Thank I was thinking about 24435 but that is with autograft.

    Any ideas would be greatly appreciated.

    Have a great weekend.


  2. #2
    Greater Pittsburgh
    24430, the allograft is included, unless your Dr. thinks it was over and above the normal repair and spent more time, might be able to add a -22 modifier, but you have to be certain that the operative notes specifies such. The only allowable allograft I know to be billed and may be reimbursed is for the SPINE only.
    jdemar, CPC, CMA

  3. Default ORIF humerus / jdemar
    Thanks for your help !!! Much appreciated


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