AMA CPT® Assistant - 2000 Issue 12 (December)
Musculoskeletal System (December 2000)
December 2000 page 15c Coding Consultation Musculoskeletal System, Surgery, 20900, 20902 (Q&A) Question A physician performs an open reduction and internal fixation of a fracture of an extremity. The procedure includes a bone graft with bone obtained from a bone bank. Is a separate code assigned to the grafting procedure? AMA Comment The bone graft codes 20900 and 20902 are separately reportable only when the graft material is an autograft and is obtained through a separate incision and not listed as part of the basic procedure. Bone bank bone is not reported using these codes. Musculoskeletal System, Surgery...
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Article Overview
This article presents an AMA CPT coding consultation for musculoskeletal surgery, focused on whether a grafting service is separately reportable when performed with fracture fixation. It is useful for coders, auditors, and reimbursement staff who work with operative coding and want to understand the scope of the guidance discussed in the Q&A.
Why This Topic Matters
The article clarifies a common surgery coding question involving fracture repair and graft-related reporting considerations, which can affect accurate procedure coding and claim submission.
Article Sections
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Coding Consultation
An AMA coding question-and-answer format addressing a musculoskeletal surgery scenario and the related CPT reporting discussion.
What You Will Learn
- The scope of the musculoskeletal surgery coding question discussed in the AMA consultation.
- The general type of graft-reporting issue addressed in the Q&A.
- How the article frames CPT coding guidance for an operative fracture repair scenario.
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Who Should Read This
- Medical coders
- Coding auditors
- Biller/reimbursement staff
- Orthopedic surgery coding staff
Codes Discussed
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