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OCD status post microfracture

L Posted Tue 14th of June, 2016 08:12:38 AM
What codes should I use for the following? DX: Left ankle OCD status post microfracture x 2. PROCEDURE: 1.Open curettage and bone grafting, left ankle OCD defect. 2.Harvest of calcaneal autograft. 3.Placement of allograft cartilage transplant. 4.Exostectomy of anterior tibial exostosis. Thanks!
SuperCoder Answered Wed 15th of June, 2016 02:20:40 AM
Diagnosis: Left ankle OCD status post microfracture x 2 = M93.272, V54.9 Procedure: 1. Open curettage and bone grafting, left ankle OCD defect = 28102. 2. Harvest of calcaneal autograft = 20900 (This code should not be reported separately, as included in CPT code 28102 and 27638). 3. Placement of allograft cartilage transplant = Considered integral part of CPT code 27638 and 28102. 4. Exostectomy of anterior tibial exostosis = 27638.

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