Victoria Posted Thu 18th of April, 2019 12:45:46 PM
would code 23680 be the best code for Anatomic left humeral head reconstruction with fresh frozen osteochondral allograft?
SuperCoder Answered Fri 19th of April, 2019 04:44:40 AM
Thanks for your question.
Code 23680 is used to align shoulder dislocation and repair of humerus neck fracture, which is not the case here. As per provided limited documentation, and in the absence of diagnosis, we can suggest you code 23470 (Arthroplasty, glenohumeral joint; hemiarthroplasty) in which the provider replaces the damaged head of a humerus with a prosthetic implant while the glenoid cavity is left intact.
Please correlate this with your documentation and feel free to write if you have any question.
Victoria Posted Fri 19th of April, 2019 11:56:35 AM
The diagnosis is Posttraumatic posterior instability of the left shoulder associated with a large engaging reverse Hill-Sachs humeral head defect. The physician also indicates in the op note defect is caused from depressed fracture fragment. Allograft was used in the defect area.
SuperCoder Answered Mon 22nd of April, 2019 08:34:43 AM
Thanks for providing additional information. As per provided documentation, CPT code 23680 is correct. Please correlate this with your medical record. Also please report allograft code if CCI edit allows.
Please feel free to write if you have any question.