AMA CPT® Assistant - 2014 Issue 4 (April)

Surgery: Musculoskeletal System (Q&A) (April 2014)

April 2014 page 10b Surgery: Musculoskeletal System Question: For some complicated fractures, a temporary external fixator is used to aid in fracture reduction. In this scenario a physician will place an external fixator, proceed with open reduction internal fixation (ORIF), and then remove the external fixator at the end of the procedure. For those codes where external fixation is not included in the code description (ie, code 27828), is it appropriate to report the placement of the fixator even if it is removed at the end of the case, or should it's placement be considered integral to the procedure...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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