AMA CPT® Assistant - 2010 Issue 10 (October)

Surgery: Musculoskeletal System (October 2010)

October 2010 page 10e Surgery: Musculoskeletal System Question: What is the appropriate code to report for open osteochondral allograft of the ankle? Answer: Because there is no specific CPT code for open osteochondral allograft or repairs with industrial grafts of the ankle, report code 28899, Unlisted procedure, foot or toes, for this procedure. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, a procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the procedure, and the time, effort, and equipment...

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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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