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Orthopedic Coding Alert

CCI Edits 18.3:
Beware Wound Repair Bundles In Musculoskeletal Procedures

Red flag: You may be wrong to bill the incisions and closures.CCI edits 18.3 bundle the codes for wound repair with codes for interstitial fluid pressure monitoring, bone grafts, osteocutaneous flaps, electrical and ultrasound stimulation for bone healing, and radiofrequency ablation of bone tumor. Use the instruction below on reporting these together and advice on appending the right modifiers.Differentiate Services with ModifiersHere's a quick refresher on the codes for interstitial fluid pressure monitoring, bone grafts, osteocutaneous flaps, electrical and ultrasound stimulation for bone healing, and radiofrequency ablation of bone tumor: 20950 (Monitoring of interstitial fluid pressure [includes insertion of device, e.g., wick catheter technique, needle manometer technique] in detection of muscle compartment syndrome) 20955 (Bone graft with microvascular anastomosis; fibula)20962 (Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal) 20969 (Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe)20973 (Free osteocutaneous flap [...]


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