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Excison of capitellar fracture

  1. Default Excison of capitellar fracture
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    What CPT code would you use for excision of capitellar fracture.

    Dx is left capitellum fracture:

    Pt is 87 yrs old

    Notes state the following: The interval between the
    anconeus and the extensor carpi ulnaris was identified and divided. The
    radial head was visualized as was the capitellar fracture, which was
    essentially ensure fracture of the anterior portion of the capitellum, which
    was displaced 100% into the joint. This was not repairable as the minimal
    underlying osteopenic bone, this was removed the elbow was put through range
    of motion and found to be stable varus valgus extension and flexion. We took
    x-rays including stress used to verified stability.

    I have come up with 24101 but I am just not comfortable with this code. Help please

  2. #2
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    Quote Originally Posted by claire12 View Post
    What CPT code would you use for excision of capitellar fracture.

    Dx is left capitellum fracture:

    Pt is 87 yrs old

    Notes state the following: The interval between the
    anconeus and the extensor carpi ulnaris was identified and divided. The
    radial head was visualized as was the capitellar fracture, which was
    essentially ensure fracture of the anterior portion of the capitellum, which
    was displaced 100% into the joint. This was not repairable as the minimal
    underlying osteopenic bone, this was removed the elbow was put through range
    of motion and found to be stable varus valgus extension and flexion. We took
    x-rays including stress used to verified stability.

    I have come up with 24101 but I am just not comfortable with this code. Help please
    If it was an Arthrotomy of the elbow, that appears to be the code you should use.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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