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Orthopedic Coding Alert

You Be the Coder:

Don't Count on PRP Injection Pay

Question: Our surgeon performed open reduction/internal fixation (ORIF) on a right intertrochanteric hip fracture using an intramedullary (IM) nail. He then injected Symphony growth factor. How should we code these services?

Michigan Subscriber

Answer: Because the surgeon used an IM nail to repair the fracture, you should report 27245 (Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage).

The plasma rich protein (PRP) injection (in this case, Symphony) does not add significantly to the procedure's complexity, and therefore you should not report any additional codes.

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