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bone placement

Trish Posted Thu 23rd of August, 2012 13:00:04 PM

When the surgeon performs a craniectomy decompressive w/duraplasty for intracranial hypertension then says "placement of the bone into the abdominal wall" Is there a code for the placement of bone?

SuperCoder Answered Thu 23rd of August, 2012 14:11:10 PM

Use +61316 (Incision and subcutaneous placement of cranial bone graft. List separately in addition to code for primary procedure) for this activity. Notice that +61316 is an add-on code and is not reported alone. You’ll want to report +61316 with the primary procedure as directed by CPT using 61304, 61312, 61313, 61322, 61323, 61340, 61570, 61572, 61680-61705.

You should report +61316 (Incision and subcutaneous placement of cranial bone graft [list separately in addition to code for primary procedure]) to describe temporary placement of a cranial bone graft into a distant subcutaneous site for future retrieval. For example, you might need code 61316 when your neurosurgeon performs a decompressive craniotomy and immediate placement of the bone flap may aggravate intracranial hypertension from brain swelling. In this case, the surgeon creates a subcutaneous pocket in a suitable area, such as the abdominal wall, to store the cranial bone flap for later harvest and final placement, and you report 61316.

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