We use the graft jacket at the facility I work at. It is a gortex type graft and I see it with the rotator cuff repairs (they call it Conxea, which is the brand name). This doctor wants to code it with the 24320, reconstruction of the shoulder. I keep telling them it is just a rotator cuff repair with the modifier 22. But of course, they do not want to use the
22 modifier due to extended wait on payments. It has gotten so that this physician almost always uses the Conexa graft now. I also see it with the repair of the nerve, which is to say the doctors "wrap" the nerve to help reduce scar tissue build up. I try to explain to the doctors the graft jacket cannot be charged (64910 - I think this is the code they use) for unless the doctor us physically suturing the nerve end to the graft. Just wrapping does not constitute a "repair" of the nerve. In your case, they too are using the graft for something different than an actual repair and this is not a billable "graft" since it is not a tendon, fascia etc. This is my thought on this topic
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join