AMA CPT® Assistant - 2017 Issue 8 (August)

Surgery: Musculoskeletal System (Q&A) (August 2017)

August 2017 page 9a Surgery: Musculoskeletal System Question: What is the appropriate CPT code to report for an open distal hamstring tendon repair? Answer: It would be appropriate to report 27385, Suture of quadriceps or hamstring muscle rupture; primary, for the open repair of a distal hamstring tendon. Question: How should the insertion of a radial side plate and ulnar stem (such as the APTIS system [Aptis Medical; Louisville, KY]) during a total distal radioulnar joint replacement procedure be reported? Is it appropriate to report codes 25441 and 25442? Answer: It would be appropriate to report only code 25442...

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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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