AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

Closure of Bilateral Alveolar Clefts

A patient with history of bilateral cleft lip and palate was seen for closure of bilateral patent alveolar clefts. The surrounding scar tissue was mobilized at the left-sided cleft to create a pocket to preserve the bone and place Infuse® bone morphogenetic protein (BMP). On the right side, dermal autograft that was harvested from the left hip was placed into the cleft with Infuse® bone morphogenetic protein. What are the code assignments for bilateral alveolar cleft closure with bilateral placement of bone morphogenetic protein (BMP) and placement of dermal autograft to the right cleft?  ...

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