Results 1 to 6 of 6

bone allograft

  1. Default bone allograft
    Medical Coding Books
    when performing an ORIF of metacarpal fracture with the use of bone allograft, is the bone allograft separately reportable and if so, what code should be billed?

  2. Default Bone Graft
    I would use Codes:

    26615 (Open tx of metacarpal fracture, single, includes internal fixation, when performed, each bone)

    20900 (Bone graft, any donor area, minor or small)

    Hope this helps..

  3. Default
    Thanks for replying Tonya. I reviewed CPT 20900 but thought not to bill because it states 'autogenous' bone graft/harvest. The bone utilized for the case in question is an allograft.

  4. Default
    located this answer from CPT Assistant...

    Coding Consultation

    Musculoskeletal System, Surgery, 20900, 20902 (Q&A)


    A physician performs an open reduction and internal fixation of a fracture of an extremity. The procedure includes a bone graft with bone obtained from a bone bank. Is a separate code assigned to the grafting procedure?

    AMA Comment

    The bone graft codes 20900 and 20902 are separately reportable only when the graft material is an autograft and is obtained through a separate incision and not listed as part of the basic procedure. Bone bank bone is not reported using these codes.

  5. #5
    Hartford, CT
    The bone allograft is supplied by the facility so the physician cannot bill for it. It's paid for under the resources used by the facility.

  6. Default
    Thanks for bring that to my attention PLASTICSCPT, I only went by the Cpt book and it does not address what type of bone donor, it only said, any donor, so after I read your message, I went on my Ingenix program and looked at the Lay terminology definition and saw Autograft. That's what I get for going by Cpt book only.

Similar Threads

  1. HCPCS Bone Allograft
    By victoria1113 in forum Outpatient Facilities
    Replies: 7
    Last Post: 07-29-2015, 03:08 AM
  2. Replies: 0
    Last Post: 03-28-2013, 06:53 AM
  3. ACL reconstruction with bone-tendon-bone allograft
    By MollyBK62 in forum Orthopaedics
    Replies: 3
    Last Post: 05-01-2012, 11:17 AM
  4. any ideas on how to code for bone allograft to the fibula
    By devine1 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-15-2011, 09:34 AM
  5. Cancellous allograft bone grafting tibial defect
    By awest in forum Orthopaedics
    Replies: 0
    Last Post: 09-29-2010, 08:56 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.