AMA CPT® Assistant - 2013 Issue 3 (March)

Surgery: Musculoskeletal System (Q&A) (March 2013)

March 2013 page 13c Surgery: Musculoskeletal System Question: A patient undergoes open treatment of a comminuted intra-articular distal radius fracture (25609), and the surgeon also performs a pronator rotation flap. In addition to code 25609, Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments, would it be appropriate to report code 15736, Muscle, myocutaneous, or fasciocutaneous flap; upper extremity, for the pronator rotation flap? Answer: No. It would not be appropriate to report code 15736 for the pronator rotation flap, as it is performed through the same incision and is...

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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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