AMA CPT® Assistant - 1996 Issue 4 (April)

Musculoskeletal, 21193-21196 (Q&A) (April 1996)

April 1996 page 11 Coding Consultation Musculoskeletal, 21193-21196 (Q&A) Question I noticed in my 1996 CPT book that the mandibular reconstruction codes (21193-21196) were changed this year, and now are to be used for a bilateral procedure. What code do I report for a unilateral procedure? Answer CPT codes 21193 and 21195 (as well as 21194 and 21196) were revised in CPT 1996 to more clearly define that these procedures are typically performed on both sides of the mandible, (eg, an osteotomy on the rami [plural] as opposed to the ramus [singular]). The procedures reported using these codes...

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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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