AAPC - Back to school
Results 1 to 2 of 2

Thread: Revision open reduction, internal fixation of left ulnar with DBX graft

  1. #1

    Question Revision open reduction, internal fixation of left ulnar with DBX graft

    AAPC: Back to School
    I need some coding help please.

    DX: Nonunion of left ulna status post open reduction, internal fixation.
    Procedure performed: Revision open reduction, internal fixation of left ulnar with DBX (allograft) graft.

    ....The old plate was removed without difficulty. With small rongeur, curettes, and then a small drill, we cleaned out the fracture site back to waht appeared to be good bleeding bone. we put four holes on each side of the fracture and put in a 2.7 compression plate in. Intraoperative fluoro showed it appeared to be a good reduction. The was done by drilling, depth gauging, and placing the screws in. It should be noted that before we put the plate on, we did put DBX graft at the fracture site after it had been prepared. After we were finished with the plate, we used DBX graft to fill in a couple of screw holes that were visible with some DBX graft............................................. ......

    I want to use 25999 because allograft was used, not autograft. and it was a nonunion. the other option could be 25545. Any thoughts would be wonderful.


  2. #2
    Join Date
    Apr 2007
    Greater Pittsburgh


    Look @ 25400 and the allograft is included unless the procedure was more difficult, refer to back to your physician for difficulty and if the 22 modifier is justified....the only allograft you can bill for is for SPINE SX.

    If the nonunion was repaired with AUTOgraft then the code would be 25405.
    jdemar, CPC, CMA

Similar Threads

  1. Replies: 2
    Last Post: 04-13-2015, 01:51 PM
  2. Open reduction & internal fixation subtalar joint
    By seslinger in forum Orthopaedics
    Replies: 0
    Last Post: 07-15-2014, 09:08 AM
  3. Open reduction/internal fixation of sternum
    By GIBBERS in forum Cardiovascular Thoracic
    Replies: 3
    Last Post: 02-10-2014, 02:38 PM
  4. Open reduction with internal fixation of ribs
    By jralonz in forum Orthopaedics
    Replies: 0
    Last Post: 08-05-2010, 09:48 AM
  5. Replies: 0
    Last Post: 06-05-2009, 11:37 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.