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Thread: 25400 without graft vs 25405 with autograft

  1. #1

    Default 25400 without graft vs 25405 with autograft

    AAPC: Back to School
    OP NOTE: ORIF & repair of the nonunion with local grafting. .....previous incision was opened, compression plate was removed. The nonunion was identified, the osteophytes removed, edges made parallel with a small saw, a 6 hole LCDC plate was contoured, fx held in compression, the local bone graft was placed around the nonunion, irrigation carried out....

    My question is, does the autograft count if it was collected locally, ie the osteophytes from the same incision, or do you only code the 25405 if the autograft was collected from a different body site or incision?

    Thanks in advance for any feedback, comments, etc. Mary MMadrigal@hawaii.rr.com

  2. #2

    Default Re Autograft

    101 people viewed, but no responce?

  3. #3
    Join Date
    Apr 2007
    Salt Lake City


    The description states physician must create an incision over the harvest site, is he doing a separate incision?
    Jenifer McPolin CPC, CPMA, RCC

  4. #4

    Default autograft 25405

    Thank you Jennifer, so much! No seperate incision on this one. He's using the osteophytes he removed as the graft. Mary

  5. #5
    Join Date
    Apr 2007
    Salt Lake City


    You betcha, hey what is your picture of? Is that a bird?
    Jenifer McPolin CPC, CPMA, RCC

  6. #6

    Default Baby Bird

    It is a nestling java finch. I do wild bird rehab for a living, and medical insurance billing to pay the bills Thank you again for your feedfback. Mary

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