AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 3; Ask the Editor

Curettage of Bilateral Humeral Head and Bone Graft Placement

The patient is a 16-year-old who is admitted for surgical treatment of avascular necrosis (AVN) of both humeral heads, secondary to sickle cell vaso-occlusive disease. He underwent curettage and bone graft of both humeral heads. During the procedure, a C-arm was utilized to identify the lesion on the left upper extremity where an incision was made with dissection down to the periosteum. The periosteum was incised; a guidewire was drilled into the lesion of the humeral head; and an expandable reamer umbrella was opened to core out the lesion. The reamer was then withdrawn leaving the protection sleeve in place, Pro-dense™ bone graft was mixed and injected via cannula into the lesion. The procedure was then repeated on the right. What are the appropriate root operations for curettage and Pro-dense™ bone grafts to treat AVN of the bilateral humeral heads? ...

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