AMA CPT® Assistant - 2019 Issue 2 (February)

Surgery: Musculoskeletal System (Q&A) (February 2019)

February 2019 page 10 Surgery: Musculoskeletal System Question: A physician performs proximal row carpectomy and resurfacing of the capitate (or in some cases, hemi-replacement of the capitate) for severe radiocarpal arthritis from a scaphoid lunate advanced collapse (SLAC) wrist deformity. What is the appropriate code to report proximal row carpectomy with resurfacing of the capitate or hemi-replacement of the capitate? Answer: Code 25215, Carpectomy; all bones of proximal row, should be reported if only proximal row carpectomy is performed. However, report only code 25332, Arthroplasty, wrist, with or without interposition, with or without external or internal fixation, if both...

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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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