AAPC - Back to school
Results 1 to 2 of 2

Thread: Takedown Of Non Union ?

  1. #1

    Unhappy Takedown Of Non Union ?

    AAPC: Back to School
    1. Take down of right clavicle nonunion.
    2. Open reduction, internal fixation, right clavicle fracture

    Codes I have are:
    23515 - ORIF Claivicle Fracture
    20680 - Removal of Hardware
    20902 - Bone Grafting

    Im just having troubel regarding the "takedown of the non union fracture". Is there a code Im missing or do I append a 22 modifier on 23515? Any help is greatly appriciated!

    Op Reort:

    The dissection was carried down to the level of prior open
    reduction and internal fixation. The plate was identified and
    successfully removed. The nonunion site was identified. Of
    note, the more medial aspect of the comminution of fracture had
    healed successfully. The nonunion site was then taken down.
    Bone graft was then used to fill this region. This was DBX
    putty. The fracture fragments were then reduced. The plate was
    then used to secure the fragment. Screws were then placed
    medially. These were utilized as same holes as before.
    Laterally, the fixation was extended by extending the incision
    laterally. Once this was complete, additional bone graft was
    used to incorporate the fracture site. Final fluoroscopy shots
    were taken and felt to be appropriate. The wound was then
    copiously irrigated with normal saline.

  2. #2


    Look at 23485. I think it covers the ORIF and graft codes. Hope this helps.

Similar Threads

  1. Replies: 1
    Last Post: 03-30-2015, 08:31 AM
  2. repair of metarsals non-union and mal-union
    By srbarandela in forum Podiatry
    Replies: 2
    Last Post: 10-19-2011, 04:33 PM
  3. Non-Union Calcaneus
    By jmkitchen in forum Orthopaedics
    Replies: 4
    Last Post: 10-04-2011, 12:18 PM
  4. non-union code
    By LMCODER in forum Orthopaedics
    Replies: 1
    Last Post: 11-01-2010, 10:38 AM
  5. mal-union & non-union
    By Zellerdh in forum Orthopaedics
    Replies: 2
    Last Post: 10-29-2009, 11:43 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?


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.