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Thread: Wrist fusion with scaphoidectomy

  1. #1
    Join Date
    Apr 2007

    Red face Wrist fusion with scaphoidectomy

    AAPC: Back to School
    My doctor does limited & total wrist fusions, along with the scaphoidectomy. He uses the excised scaphoid for the autograft. I feel the scaphoidectomy would be bundled...especially since it's used for the autograft. I have billed out CPT 25825 for the limited fusion with autograft when he has done the fusion with the scaphoidectomy as the autograft. He has argued that we should also bill out CPT 25210.
    An example of the dictation regarding the scaphoidectomy:

    Significant degenerative arthritis was noted on the proximal pole of the scaphoid with
    grooves dug into the exposed subchondral bone. The scaphoid was significantly attenuated. The soft tissue attachments were carefully elevated off the scaphoid and the scaphoid was resected. The scaphoid bone was then cleaned of any cartilage and soft tissue attachments and used for autologous bone graft.

    Please advise if the scaphoidectomy is a separate procedure in this case. Please provide references for proof of proper coding.

    Thanks for any and all information & guidance

  2. #2

    Default Answer?

    Was there ever an answer to this question? I hav the same situation.

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