AMA CPT® Assistant - 2004 Issue 11 (November)

Musculoskeletal System/Surgery (November 2004)

November 2004 page 10 Coding Consultation:Questions and Answers Musculoskeletal System, 23585 (Q&A) Question Is it appropriate to report CPT code 23585, Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation, more than once per operative session if both scapulae were treated? AMA Comment CPT code 23585 is intended to be reported once per operative session. However, if both scapulae were treated at one operative session, it would be appropriate to report this code with modifier 50, Bilateral procedure, appended to indicate that the procedure was performed bilaterally. Musculoskeletal System/Surgery (November 2004). CPT® Assistant...

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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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