Charlene Posted Wed 08th of February, 2017 18:59:03 PM
Patient fell 9/2016 resulting in periprosthetic fx of total shoulder humeral stem. The fx hasn't healed and the humeral stem is loose.
Now Dr. performs revision of total shoulder by replacing only humeral stem (23473). The fracture is repaired by cerclage wire and allograft struts. Any suggestions how to code for the periprosthetic fx?
SuperCoder Answered Thu 09th of February, 2017 02:36:21 AM
Greetings from SuperCoder.com!
Please report only one CPT code i.e. 23616. You cannot report 23473 because 23616 includes humeral prosthetic replacement. Moreover, there is CCI edit between these two codes.
Please feel free to write if you have any concern or questions.