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2nd request for HELP on elbow surgery

  1. Default 2nd request for HELP on elbow surgery
    Medical Coding Books
    Op report reads:
    dissection was taken down to subcutaneous tissue in which bursal sac structure was removed. Inspection of the rest of elbow joint at the olecranon bursa did not show an opening betweeen the olecronon bursa and elbow joint, so dissection was made on lateral aspect to expose the elbow joint and showed inflammation of synovium. Open Synovectomy was performed. There was evidence of loose bodies and this was irrigated with antibiotic solution.

    Question: does the synovectomy and irrigation of loose bodies one cpt code 24102. not sure because it is open procedure. Or would it be the 24000. Wasnt sure since the NCCI edits says that the excision of olecronon bursa 24105 can't be billed with 24000.

    I would greatly appreciate some help or input. Thanks

  2. Red face 24102?
    Did not see evidence of a bursectomy in the OP note.
    24102 sounds most accurate. 24101 is a component of 24102.
    Hope this helps.

  3. Default
    Ok so the 24102 qualifies as the open procedure for synovectomy and does it include the I&D for loose bodies? In the op report is stated removal of the olecronon bursal sac 24105 and is appropriate to bill these two together?
    Thanks for your quick reply

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