AHA Coding Clinic® for HCPCS - 2010 Issue 3; ASK the EDITOR

Radioulnar Synostosis

This patient previously underwent a 2-incision technique to repair a distal biceps rupture. However, postoperatively the patient was noted to have difficulty regaining pronation and supination. The x-rays taken revealed the formation of heterotopic bone which eventually developed into full-fledged bridging radioulnar synostosis that has completely locked his arm in a neutral rotation. Now the patient has undergone a resection of the radioulnar synostosis. However, according to the operative report the excision of the bone formation causing the synostosis was subperiosteal. Would it be appropriate to report a CPT code for excision of bone or soft tissue? ...

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