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intramedullary nailing help

  1. Default intramedullary nailing help
    Medical Coding Books
    Pt had breast cancer and the cancer has spread down to the patients femur. My Dr wants to do intramedullary nailing to the femur for preventative purposes, to pretty much help prevent a fracture etc to the the patients femur. What code would I use for this? Everything Im finding is already is for if the patient already has a fracture. Any help at all is appriciated. Thanks in advance!

  2. #2
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    Quote Originally Posted by Sara82 View Post
    Pt had breast cancer and the cancer has spread down to the patients femur. My Dr wants to do intramedullary nailing to the femur for preventative purposes, to pretty much help prevent a fracture etc to the the patients femur. What code would I use for this? Everything Im finding is already is for if the patient already has a fracture. Any help at all is appriciated. Thanks in advance!
    Look at 27495...

    "Prophylactic treatment is performed to prevent injury or fracture of diseased bone"

  3. #3
    Smile
    use 27495 for shaft and distal femur and use 27187 for femoral neck and proximal femur.
    Last edited by twosmek; 10-28-2011 at 10:11 AM. Reason: more info
    Tina Wosmek CPC, COSC

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