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Allograft with a shoulder surgery

  1. #1
    Location
    Columbus, Ohio
    Posts
    106
    Red face Allograft with a shoulder surgery
    Exam Training Packages
    How do I code an allograft used in a shoulder surgery? The cpt codes I looked at are for spine surgeries. The surgeon did OTIF of the proximal humerous with tuberosities with bone graft. I picked 23615 but what do I use for the allograft? The op notes states:

    The patient had a large void in the metaphyseal region. I decided to use the iliac crest allograft. I used a block of iliac crest allograft and placed this in the defect. I reduced the fragment, controlling the suture on the tuberosites by taking the shaft out of varus.

    Is an additional diagnosis needed to indicate the need for the allograft?

    Thanks, Paula

  2. #2
    Location
    Asheville-Hendersonville
    Posts
    44
    Talking re: shoulder surgery
    I have come across this several times, and i want to say that the allograft is included in the surgery. Are you on the Ortho list serve? If not, that is a great site to get info. Hope this helps.
    Jen P

  3. #3
    Location
    Columbus, Ohio
    Posts
    106
    Smile orthro list serve
    Thanks Jen for your advice. I haven't used the ortho list serve. Do you have an email address or website link for it? I'm always looking for good resources. When I checked the coder's desk reference for 23615 there wasn't any reference to grafting in it. This must be one of those things that just comes with experience. Thanks again, Paula

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Paula...was this truly "allograft"?? You mention in your above post that it was "iliac crest allograft". The reason I question this is because an iliac graft is usually autograft. If its autograft, we may have another code here.

    Let me know
    Mary

  5. #5
    Location
    Asheville-Hendersonville
    Posts
    44
    Smile
    Paula, i tried to cut and paste for you, hope this works. i get alot of good info from across the country! http://lists.ucg.com/read/login/?list=ortho-l

    Jen P

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Hi Paula,

    I reviewed the op note. Sorry but he wont get anything extra for the allograft, it is included.

    Thanks
    Mary

  7. #7
    Location
    Columbus, Ohio
    Posts
    106
    Wink Thank you
    Mary and Jen, thanks for all the help. I can't begin to describe how helpful this forum has been..

    Have a great day coding, Paula

  8. Default
    how do I become a member of such list? how do I create a log in?

  9. #9
    Default
    Is This A Websit You Have To Pay For And How Do I Get Information On It?

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