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Orthopedic Coding Alert

You Be the Coder:
Rongeur and Curette Do Not Imply Osteotomy

Question: Our surgeon did an open repair and internal fixation with Vitoss bone graft for a non-union of the clavicle. The operative note stated that “rongeur and curette” were used. Does this imply an osteotomy? Is it correct to report code 23480 (Osteotomy, clavicle, with or without internal fixation) or do we report an unlisted code? Is it ok to append [...]


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