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need help with repair code

  1. #1
    Default need help with repair code
    Medical Coding Books
    My Doctor did an orif of the clavicle, along with repair fo trapezius muscle.
    I have the orif - 23515 but am stuck on cpt code for the muscle repair? Help anyone?
    I looked under repair, claivicle ......any suggestions?

  2. #2
    Exclamation Trapezius repair with clavicle ORIF
    Quote Originally Posted by schotty63 View Post
    My Doctor did an orif of the clavicle, along with repair fo trapezius muscle.
    I have the orif - 23515 but am stuck on cpt code for the muscle repair? Help anyone?
    I looked under repair, claivicle ......any suggestions?
    I have the same question. The surgeon usually repairs the trapezius muscle, which has been buttonholed and lacerated by the high-impact clavicle fracture, when he does the ORIF. I want to know if this repair is included in the ORIF, and does that apply to fractures generally?

    If it's not included, what code would apply? I don't see using 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff), because the trapezius muscle is located on the back, not the arm.

    Can anyone suggest a resource that lists what procedures are included in the fracture codes?
    Best,

    Kimberly A. Sherman, MA, CPC
    Multi-Specialty Physician Coder/Entrepreneur
    kimberlyshermansd@yahoo.com
    www.physicianscodingservices.com

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