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Orthopedics
Volume 2Musculoskeletal System (27680-29999). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1069
Hemic and Lymphatic Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1422
Nervous System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1423
Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1440
Pathology and Laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1582
Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1587
Evaluation and Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1601
Category III Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1675
HCPCS Codes
• Medical and Surgical Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1687
• Outpatient PPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1688
• Durable Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1689
• Procedures/Professional Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1690
• Drugs Administered Other Than Oral Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1698
• Orthotic Procedures and Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1699
• Temporary National Codes (Non-Medicare) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1700
ICD-10 CrossRef Details. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1701
Modifier Descriptors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2065
Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2075
Code Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2121
Contents
Volume 1Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Integumentary System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Musculoskeletal System (20100-27676). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
71Modifier: 0 = not allowed, 1 = allowed CPT® is a registered trademark of the American Medical Association. CPT © 2020 American Medical Association. All rights reserved.
Musculoskeletal System Coders’ Specialty Guide 2021: Orthopedicsm
uSCu
loSk
eletal SyStem
+20936 — +20937
+20936 — +20937
959330, 959370, 959380, 959390, 959400, 965230, G04530
ICD-10 CrossRefM25.78, M47.011-M47.019, M47.021-M47.029, M47.11-M47.13, M47.21-M47.23, M47.26, M47.27, M47.28, M47.811-M47.813, M47.816, M47.817, M47.818, M47.891-M47.893, M47.896, M47.897, M47.898, M48.01-M48.03, M48.061, M48.062, M48.07, M48.9, M50.00, M50.01, M50.03, M50.20, M50.21, M50.220-M50.223, M50.23, M54.11-M54.13, M54.2, M79.12, M79.18, M99.20, M99.21, M99.23, M99.30, M99.31, M99.33, M99.40, M99.41, M99.43, M99.50, M99.51, M99.53, M99.60, M99.61, M99.63, M99.70, M99.71, M99.73, Q76.2
+20936Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)
Clinical responsibilityWhen the patient is appropriately prepped and anesthetized for a spinal surgery procedure, the provider fills in bony defects during the surgical procedure with an autograft obtained from the same incision. She extends the incision longitudinally, or lengthwise, upward or downward, as applicable. For a fusion procedure in the cervical spine, or neck, she takes graft material from a rib by extending the incision upward. For a fusion procedure in the lumbar spine, which is the lower back, or in the sacrum, the area at the base of the spine, she takes graft material from an adjacent vertebra, generally the lower vertebra. She localizes the donor site and uses an osteotome or bone shaver to shave and pull the graft. After completing the grafting portion of the procedure, she turns her attention to the remainder of the major operative procedure.
Coding tipsCode 20936 is an add-on code describing grafting from a donor area using the same incision during a major operative procedure and must be reported with an allowable primary spinal procedure code.
You should never append modifier 50, Bilateral procedure, to 20936. The CMS Physician Fee Schedule Database includes a 9 indictor in the BILAT SURG column for this code. According to further CMS instructions, a 9 indicator in this column means that the concept of a bilateral surgery with spinal grafting does not apply. If the procedure is performed bilaterally, report the add-on code twice.
Be aware of possible nonpayment. Although neither CPT® nor CMS officially bundle spinal bone grafts to other procedures, Medicare payers and third party payers observing CMS guidelines will effectively bundle spinal bone grafts, such as 20936, along with 20930, Allograft, morselized, or placement of osteopromotive material, for spine surgery only, list separately in addition to code for primary procedure, to any related procedure with which you would report them. Medicare designates these graft procedures as status B codes. CMS policy dictates that Medicare payers always bundle these codes into payment for other services. To reinforce this, the national Physician Fee Schedule Database assigns these codes zero relative value units, or RVUs. In other words, Medicare does not preclude you from reporting these codes, but it will not pay you for them and you cannot charge the patient for the disallowed amounts because Medicare has already paid you for these services as part of the payment for the primary procedure. Your best strategy with Medicare is not to stop reporting these procedures but to simply to write off the codes as disallowed when Medicare does not pay.
Fee Schedulemedicare Fees national Conversion Factor: 36.0896, Facility: $0.00, Non Facility: $0.00, OPPS Facility: $0.00, OPPS Non Facility: $0.00rVu Facility Work RVU: 0.00, PE RVU: 0.00, Malpractice RVU: 0.00, Total RVU: 0.00rVu non-Facility Work RVU: 0.00, PE RVU: 0.00, Malpractice RVU: 0.00, Total RVU: 0.00Indicators Preoperative: 0.00, Intraoperative: 0.00, Postoperative: 0.00, Total RVU: 0, Global Period: XXX, Radiology Diagnostic Test: 99, Code Status: B, PC/TC Indicator: 9, Endoscopic Base Code: None, MUE: 0modifier allowances 22, 52, 53, 59, 63, 76, 77, 79, 99, AR, CR, ET, GA, GC, GJ, GR, GY, GZ, KX, LT, Q5, Q6, QJ, RT, XE, XP, XS, XU
CCI Alerts (version 25.3)365910, 365920, 965230
ICD-10 CrossRefM47.011-M47.019, M47.021-M47.029, M47.11-M47.13, M48.01-M48.03, M48.061, M48.062, M48.07, M50.00, M50.01, M50.03, M50.20, M50.21, M50.220-M50.223, M50.23, M50.30, M50.31, M50.320-M50.323, M50.33, M51.26, M51.27, M51.36, M51.37, M99.20, M99.21, M99.23, M99.30, M99.31, M99.33, M99.40, M99.41, M99.43, M99.50, M99.51, M99.53, M99.60, M99.61, M99.63, M99.70, M99.71, M99.73, T81.41XA-T81.41XS, T81.42XA-T81.42XS, T81.43XA-T81.43XS, T81.49XA-T81.49XS
+20937Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)
Clinical responsibilityWhen the patient is appropriately prepped and anesthetized for a spinal surgery procedure, the provider fills in bony defects during the surgical procedure with a morselized autograft obtained through a separate incision. She selects and prepares the donor area, typically the iliac crest, rib, or femoral head. She makes a longitudinal, or lengthwise, incision. She incises and retracts superficial skin, fascia, and muscles to expose the bone for grafting. She localizes the donor site and uses an osteotome or bone shaver to shave and pull the graft. She obtains sufficient bone pieces for the graft and then closes the donor site incision by suturing it in a layered fashion. She then prepares the autograft outside the patient's body. She uses a rongeur and bone shaver to morselize, or crush, the autograft into granules of various shapes and sizes. This allows the bone pieces to confirm to the bony defect and fill in the gap, or cavity, in the bone. After completing the grafting portion of the procedure, she turns her attention to the remainder of the spinal surgery procedure.
72 Modifier: 0 = not allowed, 1 = allowedCPT® is a registered trademark of the American Medical Association. CPT © 2020 American Medical Association. All rights reserved.
Musculoskeletal SystemCoders’ Specialty Guide 2021: Orthopedicsm
uSC
ulo
Skel
eta
l Sy
Stem
+209
38 —
+20
938
+20938 — +20938
Coding tipsCode 20937 is an add-on code describing preparation and application of a morselized autograft through a separate skin incision and must be reported with an allowable primary spinal procedure code.
You should never append modifier 50, Bilateral procedure, to 20937. The CMS Physician Fee Schedule Database includes a 9 indictor in the BILAT SURG column for this code. According to further CMS instructions, a 9 indicator in this column means that the concept of a bilateral surgery with spinal grafting does not apply. If the procedure is performed bilaterally, report the code twice.
Illustration
TrephineBone graft is
harvested from fibula
Fibula
Tibia
Morselized boneis placed over the
removed disc
Morselizesbone
+20937
Fee Schedulemedicare Fees national Conversion Factor: 36.0896, Facility: $175.03, Non Facility: $175.03, OPPS Facility: $100.69, OPPS Non Facility: $100.69rVu Facility Work RVU: 2.79, PE RVU: 1.36, Malpractice RVU: 0.70, Total RVU: 4.85rVu non-Facility Work RVU: 2.79, PE RVU: 1.36, Malpractice RVU: 0.70, Total RVU: 4.85
Indicators Preoperative: 0.00, Intraoperative: 0.00, Postoperative: 0.00, Total RVU: 0, Global Period: ZZZ, Radiology Diagnostic Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: None, MUE: 1modifier allowances 22, 52, 53, 58, 59, 62, 63, 76, 77, 78, 79, 80, 81, 82, 99, AQ, AR, AS, CR, ET, GA, GC, GJ, GR, KX, Q5, Q6, QJ, XE, XP, XS, XU
CCI Alerts (version 25.3)0333T0, 0464T0, 110101, 365910, 365920, 382200, 382211, 382220, 925850, 958220, 958600, 958610, 958630, 958640, 958650, 958660, 958670, 958680, 958690, 958700, 959070, 959080, 959090, 959100, 959110, 959120, 959130, 959250, 959260, 959270, 959280, 959290, 959300, 959330, 959370, 959380, 959390, 959400, 965230, G04530
ICD-10 CrossRefM48.01-M48.03, M48.061, M48.062, M50.00, M50.01, M50.03, M99.20, M99.21, M99.30, M99.31, M99.40, M99.41, M99.50, M99.51, M99.60, M99.61, M99.70, M99.71, T81.41XA-T81.41XS, T81.42XA-T81.42XS, T81.43XA-T81.43XS, T81.49XA-T81.49XS
+20938Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)
Clinical responsibilityWhen the patient is appropriately prepped and anesthetized for a spinal surgery procedure, the provider fills in bony defects during the surgical procedure with autograft material obtained through a separate incision. She selects and prepares the donor area, typically the iliac crest, rib, or femoral head. She makes a longitudinal, or lengthwise, incision. She incises and retracts superficial skin, fascia, and muscles to expose the bone for grafting. She localizes the donor site and uses an osteotome or bone shaver to pull the graft. She obtains sufficient bone pieces for the graft and then closes the donor site incision by suturing it in a layered fashion. She then prepares the autograft outside the patient's body. She uses a rongeur and bone shaver to form the structural
autograft material into small triangular, rectangular, or oval shapes, which allow customized filling of the spinal bone defects. After completing the grafting portion of the procedure, she turns her attention to the remainder of the spinal surgery procedure.
Coding tipsCode 20938 is an add-on code describing preparation and application of structural autograft through a separate skin incision and must be reported with an allowable primary spinal procedure code.
You should never append modifier 50, Bilateral procedure, to 20938. The CMS Physician Fee Schedule Database includes a 9 indictor in the BILAT SURG column for this code. According to further CMS instructions, a 9 indicator in this column means that the concept of a bilateral surgery with spinal grafting does not apply. If the procedure is performed bilaterally, report the code number twice.
Illustration
TrephineBone graft is
harvested from fibula
Fibula
Tibia
Reshaped fibulatricortical blockused as spinal
graft
+20938
Fee Schedulemedicare Fees national Conversion Factor: 36.0896, Facility: $192.72, Non Facility:
73Modifier: 0 = not allowed, 1 = allowed CPT® is a registered trademark of the American Medical Association. CPT © 2020 American Medical Association. All rights reserved.
Musculoskeletal System Coders’ Specialty Guide 2021: Orthopedicsm
uSCu
loSk
eletal SyStem
+20939 — 20950
+20939 — 20950
$192.72, OPPS Facility: $108.99, OPPS Non Facility: $108.99rVu Facility Work RVU: 3.02, PE RVU: 1.44, Malpractice RVU: 0.88, Total RVU: 5.34rVu non-Facility Work RVU: 3.02, PE RVU: 1.44, Malpractice RVU: 0.88, Total RVU: 5.34Indicators Preoperative: 0.00, Intraoperative: 0.00, Postoperative: 0.00, Total RVU: 0, Global Period: ZZZ, Radiology Diagnostic Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: None, MUE: 1modifier allowances 22, 52, 53, 58, 59, 62, 63, 76, 77, 78, 79, 80, 81, 82, 99, AQ, AR, AS, CR, ET, GA, GC, GJ, GR, KX, Q5, Q6, QJ, XE, XP, XS, XU
CCI Alerts (version 25.3)110101, 110111, 110121, 365910, 365920, 382200, 382211, 382220, 965230
ICD-10 CrossRefG95.81, G95.89, M47.21-M47.23, M47.811-M47.813, M47.891-M47.893, M50.20, M50.21, M50.220-M50.223, M50.23, M50.30, M50.31, M50.320-M50.323, M50.33, T81.41XA-T81.41XS, T81.42XA-T81.42XS, T81.43XA-T81.43XS, T81.49XA-T81.49XS
+20939Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)
Clinical responsibilityAfter appropriate preparation and anesthesia and during primary spinal surgery, the provider prepares the separate site from which to aspirate the bone marrow. The provider makes a small incision in the skin or through fascia adjacent to the primary site, through which a bone marrow aspiration needle is inserted. Once the marrow cavity is reached, bone marrow is aspirated (sucked up through the needle). The aspiration needle is removed, and the site checked for bleeding, which is controlled if there is any. The provider continues to perform the primary spinal procedure, transferring the bone marrow graft to fill the defect in the spine. Report this code for bone marrow aspiration (BMA) for bone grafting along with the primary procedure code for the spinal surgery.
Fee Schedulemedicare Fees national Conversion Factor: 36.0896, Facility: $73.26, Non Facility: $73.26, OPPS Facility: $41.86, OPPS Non Facility: $41.86rVu Facility Work RVU: 1.16, PE RVU: 0.56, Malpractice RVU: 0.31, Total RVU: 2.03rVu non-Facility Work RVU: 1.16, PE RVU: 0.56, Malpractice RVU: 0.31, Total RVU: 2.03Indicators Preoperative: 0.00, Intraoperative: 0.00, Postoperative: 0.00, Total RVU: 0, Global Period: ZZZ, Radiology Diagnostic Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: None, MUE: 1modifier allowances 22, 47, 50, 52, 53, 59, 76, 77, 78, 79, 80, 81, 82, AA, AD, AS, CR, ET, G8, G9, GA, GC, GJ, GR, LT, Q5, Q6, QK, QS, QX, QY, QZ, RT, SC, XE, XP, XS, XU
CCI Alerts (version 25.3)011120, 011200, 0213T0, 0216T0, 0228T0, 0230T0, 0232T1, 0481T1, 120011, 120021, 120041, 120051, 120061, 120071, 120111, 120131, 120141, 120151, 120161, 120171, 120181, 120201, 120211, 120311, 120321, 120341, 120351, 120361, 120371, 120411, 120421, 120441, 120451, 120461, 120471, 120511, 120521, 120531, 120541, 120551, 120561, 120571, 131001, 131011, 131021, 131201, 131211, 131221, 131311, 131321, 131331, 131511, 131521, 131531, 360001, 364001, 364051, 364061, 364101, 364201, 364251, 364301, 364401, 365910, 365920, 366001, 366401, 437521, 517011, 517021, 517031, 616501, 623200, 623210, 623220, 623230, 623240, 623250, 623260, 623270, 644000, 644020, 644050, 644080, 644100, 644130, 644150, 644160, 644170, 644180, 644200, 644210, 644250, 644300, 644350, 644450, 644460, 644470, 644480, 644490, 644501, 644610, 644620, 644630, 644790, 644800, 644830, 644840, 644860, 644870, 644880, 644890, 644900, 644910, 644920, 644930, 644940, 644950, 645050, 645100, 645170, 645200, 645300, 699900, 805001, 805021, 920121, 920141, 930001, 930051, 930101, 930401, 930411, 930421, 933181, 940021, 942001, 942501, 946801, 946811, 946901, 947701, 958121, 958131, 958161, 958191, 958221, 958291, 959551, 963601, 963611, 963651, 963661, 963671, 963681, 963721, 963741, 963751, 963761, 963771, 965230, 991550, 991560, 991570, 992111, 992121, 992131, 992141, 992151, 992171, 992181, 992191, 992201, 992211, 992221, 992231, 992311, 992321, 992331, 992341, 992351, 992361, 992381, 992391, 992411, 992421, 992431, 992441, 992451, 992511, 992521, 992531, 992541, 992551, 992911,
992921, 993041, 993051, 993061, 993071, 993081, 993091, 993101, 993151, 993161, 993341, 993351, 993361, 993371, 993471, 993481, 993491, 993501, 993741, 993751, 993771, 993781, J06701, J20011
ICD-10 CrossRefM43.01-M43.09, M43.11-M43.19,M47.011-M47.019, M47.021-M47.029, M47.11-M47.13, M47.26-M47.28,M47.816-M47.818, M47.896-M47.898, M48.01-M48.03, M48.061, M48.062, M51.14-M51.17, M51.36, M51.37, M54.14-M54.17, M99.20, M99.21, M99.30, M99.31, M99.40, M99.41, M99.50, M99.51, M99.60, M99.61, M99.70, M99.71, Q06.1-Q06.9, T81.41XA-T81.41XS, T81.42XA-T81.42XS, T81.43XA-T81.43XS, T81.49XA-T81.49XS
20950Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome
Clinical responsibilityWhen the patient is appropriately prepped and the area anesthetized, the provider inserts a needle or a wick catheter of a manometer, a pressure monitoring device, through the skin and into the muscle compartment in the affected extremity. She records the pressure reading from the monitoring device. She removes the needle and applies a sterile dressing to the insertion site.
Coding tipsExperts recommend reporting 20950 per extremity, per session. You should not report this code per compartment.
A provider measures compartment pressures in anterior and posterior compartments of bilateral legs. You should report 20950 RT, right side, followed by 20950 LT, left side.
If a provider repeats pressure measurement later on the same day, such as to test for exercise induced compartment syndrome, you may report those studies separately. Remember to append modifier 76, Repeat procedure or service by same physician or
74 Modifier: 0 = not allowed, 1 = allowedCPT® is a registered trademark of the American Medical Association. CPT © 2020 American Medical Association. All rights reserved.
Musculoskeletal SystemCoders’ Specialty Guide 2021: Orthopedicsm
uSC
ulo
Skel
eta
l Sy
Stem
2095
5 —
209
5520955 — 20955
other qualified health care professional, if the same provider repeats the procedure at a separate session on the same day.
Illustration
Pressure transducerrecorder
Catheter taped toskin
Muscle
Wick catheter inserted to check
interstitial fluid
Needle inserted into muscle
20950
Fee Schedulemedicare Fees national Conversion Factor: 36.0896, Facility: $92.39, Non Facility: $268.15, OPPS Facility: $45.47, OPPS Non Facility: $45.47rVu Facility Work RVU: 1.26, PE RVU: 1.07, Malpractice RVU: 0.23, Total RVU: 2.56rVu non-Facility Work RVU: 1.26, PE RVU: 5.94, Malpractice RVU: 0.23, Total RVU: 7.43Indicators Preoperative: 0.00, Intraoperative: 0.00, Postoperative: 0.00, Total RVU: 0, Global Period: 000, Radiology Diagnostic Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: None, MUE: 2modifier allowances 22, 47, 51, 52, 53, 58, 59, 63, 76, 77, 78, 79, 80, 81, 82, 99, AQ, AR, AS, CR, ET, GA, GC, GJ, GR, KX, LT, PD, Q5, Q6, QJ, RT, XE, XP, XS, XU
CCI Alerts (version 25.3)0213T0, 0216T0, 0228T0, 0230T0, 110001, 110011, 110041, 110051, 110061, 110101, 110111, 110121, 110421, 110431, 110441, 110451, 110461, 110471, 120011, 120021, 120041, 120051, 120061, 120071, 120111, 120131, 120141, 120151, 120161, 120171, 120181, 120201, 120211, 120311, 120321, 120341, 120351, 120361, 120371, 120411, 120421, 120441, 120451, 120461, 120471, 120511, 120521, 120531, 120541, 120551, 120561, 120571, 131001, 131011, 131021, 131201, 131211, 131221, 131311, 131321, 131331, 131511, 131521, 131531, 360001, 364001, 364051, 364061, 364101, 364201, 364251, 364301, 364401, 365910, 365920, 366001, 366401, 437521, 517011, 517021, 517031, 623200, 623210, 623220, 623230, 623240, 623250, 623260, 623270, 644000, 644020, 644050, 644080, 644100, 644130, 644150, 644160, 644170, 644180, 644200, 644210, 644250, 644300, 644350, 644450, 644460, 644470, 644480, 644490, 644501, 644610, 644620, 644630, 644790, 644800, 644830, 644840, 644860, 644870, 644880, 644890, 644900, 644910, 644920, 644930, 644940, 644950, 645050, 645100, 645170, 645200, 645300, 699900, 920121, 920141, 930001, 930051, 930101, 930401, 930411, 930421, 933181, 933551, 940021, 942001, 942501, 946801, 946811, 946901, 947701, 958121, 958131, 958161, 958191, 958221, 958291, 959071, 959081, 959091, 959101, 959111, 959121, 959131, 959551, 963601, 963611, 963651, 963661, 963671, 963681, 963721, 963741, 963751, 963761, 963771, 965230, 975971, 975981, 976021, 991550, 991560, 991570, 992111, 992121, 992131, 992141, 992151, 992171, 992181, 992191, 992201, 992211, 992221, 992231, 992311, 992321, 992331, 992341, 992351, 992361, 992381, 992391, 992411, 992421, 992431, 992441, 992451, 992511, 992521, 992531, 992541, 992551, 992911, 992921, 993041, 993051, 993061, 993071, 993081, 993091, 993101, 993151, 993161, 993341, 993351, 993361, 993371, 993471, 993481, 993491, 993501, 993741, 993751, 993771, 993781, 994460, 994470, 994480, 994490, 994510, 994520, 994951, 994961, G04631, G04711
ICD-10 CrossRefM62.00, M62.011-M62.019, M62.021-M62.029, M62.031-M62.039, M62.051-M62.059, M62.061-M62.069, M62.08, M62.10, M62.111-M62.119, M62.121-M62.129, M62.131-M62.139, M62.151-M62.159, M62.161-M62.169, M62.18, M62.20, M62.211-M62.219, M62.221-M62.229, M62.231-M62.239,
M62.251-M62.259, M62.261-M62.269, M62.28, M79.10, M79.18, M79.A11-M79.A19, M79.A21-M79.A29, M79.A3, M79.A9, S47.1XXA, S47.2XXA, S47.9XXA, S57.80XA, S57.81XA, S57.82XA, S77.00XA, S77.00XD, S77.01XA, S77.02XA, S77.10XA, S77.10XD, S77.11XA, S77.12XA, S77.20XA-S77.20XS, S77.21XA, S77.22XA, S87.80XA, S87.81XA, S87.82XA, T79.A0XA, T79.A11A, T79.A12A, T79.A19A, T79.A21A, T79.A22A, T79.A29A, T79.A3XA, T79.A9XA
20955Bone graft with microvascular anastomosis; fibula
Clinical responsibilityWhen the patient is appropriately prepped and anesthetized, the provider makes a longitudinal, or lengthwise, incision at the donor graft site over the soleus and the long fibular muscle of the leg. She extends the incision down to the level of fascia and muscle. She incises and retracts muscle tissue to expose the grafting area on the fibula. She localizes fibular bone and then dissects a piece of bone from the fibula in a proximal and distal osteotomy. She takes extra care to preserve and dissect the vascular blood supply along with the dissected bone. She ensures satisfactory preparation of the bone graft along with intact vascular supply and then sutures the donor site in a layered fashion. She then turns her attention to the recipient site. She brings the extracted graft into the operative field of the recipient site. She performs microvascular anastomosis, ligating, or attaching, the vascular supply of the bone graft to the bone of the recipient site. She then fits the bone graft into the defect area of the recipient site. She affixes the bone graft to the site with bone plates, screws, and bone paste. She closes the recipient site using layered sutures.
Coding tipsProviders sometimes combine hip core decompression, 27299, Unlisted procedure, pelvis or hip joint, reported with S2325, Hip core decompression, along with other procedures such as nonvascularized or vascularized bone grafts or electromagnetic treatment in hopes of stimulating formation of new bone tissue. Watch for opportunities to also report 20955, based on the type of bone graft.
75Modifier: 0 = not allowed, 1 = allowed CPT® is a registered trademark of the American Medical Association. CPT © 2020 American Medical Association. All rights reserved.
Musculoskeletal System Coders’ Specialty Guide 2021: Orthopedicsm
uSCu
loSk
eletal SyStem
20956 — 20956
20956 — 20956
Illustration
Fibula bone graft is harvested fromthe donor site
Blood vessels areanastomosed to provide
blood flow to grafted bone
Grafted bone
Fibula bone graftis grafted intorecipient site
20955
Fee Schedulemedicare Fees national Conversion Factor: 36.0896, Facility: $2,562.00, Non Facility: $2,562.00, OPPS Facility: $1,452.97, OPPS Non Facility: $1,452.97rVu Facility Work RVU: 40.26, PE RVU: 24.73, Malpractice RVU: 6.00, Total RVU: 70.99rVu non-Facility Work RVU: 40.26, PE RVU: 24.73, Malpractice RVU: 6.00, Total RVU: 70.99Indicators Preoperative: 10.00, Intraoperative: 69.00, Postoperative: 21.00, Total RVU: 100, Global Period: 090, Radiology Diagnostic Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: None, MUE: 1modifier allowances 22, 51, 52, 53, 54, 55, 56, 58, 59, 62, 63, 76, 77, 78, 79, 80, 81, 82, 99, AQ, AR, AS, CR, CS, ET, GA, GC, GJ, GR, KX, LT, Q5, Q6, QJ, RT, XE, XP, XS, XU
CCI Alerts (version 25.3)0213T0, 0216T0, 0228T0, 0230T0, 120011, 120021, 120041, 120051, 120061, 120071, 120111, 120131, 120141, 120151, 120161, 120171, 120181, 120201, 120211, 120311, 120321, 120341, 120351, 120361, 120371, 120411, 120421, 120441, 120451, 120461, 120471, 120511, 120521, 120531, 120541, 120551, 120561, 120571, 131001, 131011, 131021, 131201, 131211, 131221, 131311,
131321, 131331, 131511, 131521, 131531, 209331, 352011, 352061, 352071, 352261, 360001, 364001, 364051, 364061, 364101, 364201, 364251, 364301, 364401, 365910, 365920, 366001, 366401, 437521, 517011, 517021, 517031, 623200, 623210, 623220, 623230, 623240, 623250, 623260, 623270, 644000, 644020, 644050, 644080, 644100, 644130, 644150, 644160, 644170, 644180, 644200, 644210, 644250, 644300, 644350, 644450, 644460, 644470, 644480, 644490, 644501, 644610, 644620, 644630, 644790, 644800, 644830, 644840, 644860, 644870, 644880, 644890, 644900, 644910, 644920, 644930, 644940, 644950, 645050, 645100, 645170, 645200, 645300, 699900, 920121, 920141, 930001, 930051, 930101, 930401, 930411, 930421, 933181, 933551, 940021, 942001, 942501, 946801, 946811, 946901, 947701, 958121, 958131, 958161, 958191, 958221, 958291, 959551, 963601, 963611, 963651, 963661, 963671, 963681, 963721, 963741, 963751, 963761, 963771, 965230, 991550, 991560, 991570, 992111, 992121, 992131, 992141, 992151, 992171, 992181, 992191, 992201, 992211, 992221, 992231, 992311, 992321, 992331, 992341, 992351, 992361, 992381, 992391, 992411, 992421, 992431, 992441, 992451, 992511, 992521, 992531, 992541, 992551, 992911, 992921, 993041, 993051, 993061, 993071, 993081, 993091, 993101, 993151, 993161, 993341, 993351, 993361, 993371, 993471, 993481, 993491, 993501, 993741, 993751, 993771, 993781, 994460, 994470, 994480, 994490, 994510, 994520, 994950, 994960, G04631, G04711
ICD-10 CrossRefC40.00-C40.02, C41.1, C41.2, C79.51, C79.52, D16.4, D16.5, D49.2, K09.0, M26.00-M26.02, M26.04, M26.05, M26.06, M26.07, M26.09, M26.11, M26.12, M26.19, M26.69, M26.71-M26.74, M26.74, M27.1, M27.2, M27.40, M27.49, M27.8, M46.30, M84.369S, M84.376S, M84.40XS, M84.453S, M84.469S, M84.48XS, M84.750S, M86.38, M86.39, M86.48, M86.49, M86.58, M86.59, M86.68, M86.69, M86.8X0, M86.8X8, M86.9, M87.08, M87.180, M89.70-M89.79, M89.711-M89.719, M89.721-M89.729, M89.731-M89.739, M89.741-M89.749, M89.751-M89.759, M89.761-M89.769, M89.771-M89.779, M90.80, M90.89, M97.21XA, M97.22XA, S02.0XXS, S02.101S, S02.102S, S02.109S, S02.110S, S02.111S, S02.112S, S02.113S, S02.118S, S02.119S, S02.11AS, S02.11BS, S02.11CS, S02.11DS, S02.11ES, S02.11FS, S02.11GS, S02.11HS, S02.19XS, S02.2XXS, S02.30XS, S02.31XS, S02.32XS, S02.400S, S02.401S, S02.402S,
S02.40AS, S02.40BS, S02.40CS, S02.40DS, S02.40ES, S02.40FS, S02.411S, S02.412S, S02.413S, S02.42XS, S02.5XXS, S02.600S, S02.601S, S02.602S, S02.609S, S02.610S, S02.611S, S02.612S, S02.620S, S02.621S, S02.622S, S02.630S, S02.631S, S02.632S, S02.640S, S02.641S, S02.642S, S02.650S, S02.651S, S02.652S, S02.66XS, S02.670S, S02.671S, S02.672S, S02.69XS, S02.80XS, S02.81XS, S02.82XS, S02.91XK, S02.91XS, S02.92XK, S02.92XS, S07.0XXA, S07.1XXA, S07.8XXA, S07.9XXA, S12.000K, S12.001K, S12.100K, S12.101K, S12.200K, S12.201K, S12.300K, S12.301K, S12.400K, S12.401K, S12.500K, S12.501K, S12.600K, S12.601K, S12.9XXS, S22.009S, S22.9XXK, S22.9XXS, S32.9XXK, S32.9XXS, S42.009K, S42.009P, S42.209K, S42.209P, S42.90XK, S42.90XP, S52.90XK-S52.90XM, S52.90XN, S52.90XP, S52.90XQ, S52.90XR, S62.90XK, S62.90XP, S72.90XK-S72.90XM, S72.90XN, S72.90XP, S72.90XQ, S72.90XR, S79.009S, S82.009P-S82.009Q, S82.009R, S82.009S, S82.90XK-S82.90XM, S82.90XN, S82.90XP, S82.90XQ, S82.90XR, S82.90XS, S92.819K-S92.819P, S92.819S, S92.909K-S92.909P, S92.909S, S92.919K-S92.919P, S92.919S, S99.209K-S99.209P, S99.209S, S99.219K-S99.219P, S99.219S, S99.229K-S99.229P, S99.229S, S99.239K-S99.239P, S99.239S, S99.249K-S99.249P, S99.249S, S99.299K-S99.299P, S99.299S
20956Bone graft with microvascular anastomosis; iliac crest
Clinical responsibilityWhen the patient is appropriately prepped and anesthetized, the provider makes an incision in the skin of the hip over the iliac crest. He extends the incision down to bone. He excises a piece of bone, taking care to dissect and preserve the vascular supply along with the dissected bone graft. He then makes an incision at the recipient site, dissecting down to bone, while preserving the vascular supply in the area. He places the graft in position and uses an operating microscope to view the site as he joins the small arteries and veins in the graft to the local vessels. He closes both the donor and recipient sites with layered sutures following successful placement of the graft.
76 Modifier: 0 = not allowed, 1 = allowedCPT® is a registered trademark of the American Medical Association. CPT © 2020 American Medical Association. All rights reserved.
Musculoskeletal SystemCoders’ Specialty Guide 2021: Orthopedicsm
uSC
ulo
Skel
eta
l Sy
Stem
2095
7 —
209
5720957 — 20957
Illustration
Blood vessels areanastomosed to
provide blood flow tografted bone
Grafted bone
Iliac crestbone graft is
harvested fromthe donor site
Iliac crest bone graft is grafted into recipient site
20956
Fee Schedulemedicare Fees national Conversion Factor: 36.0896, Facility: $2,761.58, Non Facility: $2,761.58, OPPS Facility: $1,486.17, OPPS Non Facility: $1,486.17rVu Facility Work RVU: 41.18, PE RVU: 27.18, Malpractice RVU: 8.16, Total RVU: 76.52rVu non-Facility Work RVU: 41.18, PE RVU: 27.18, Malpractice RVU: 8.16, Total RVU: 76.52Indicators Preoperative: 10.00, Intraoperative: 69.00, Postoperative: 21.00, Total RVU: 100, Global Period: 090, Radiology Diagnostic Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: None, MUE: 1modifier allowances 22, 51, 52, 53, 54, 55, 56, 58, 59, 62, 63, 76, 77, 78, 79, 80, 81, 82, 99, AQ, AR, AS, CR, CS, ET, GA, GC, GJ, GR, KX, LT, Q5, Q6, QJ, RT, XE, XP, XS, XU
CCI Alerts (version 25.3)0213T0, 0216T0, 0228T0, 0230T0, 0424T1, 0427T1, 0428T1, 0431T1, 119001, 119011, 120011, 120021, 120041, 120051, 120061, 120071, 120111, 120131, 120141, 120151, 120161, 120171, 120181, 120201, 120211, 120311, 120321, 120341, 120351, 120361, 120371, 120411, 120421, 120441, 120451, 120461, 120471, 120511, 120521, 120531, 120541, 120551, 120561, 120571, 131001, 131011, 131021, 131201, 131211, 131221, 131311, 131321, 131331, 131511, 131521, 131531, 158510, 158521, 158601, 205001, 205011, 209001, 209021, 209331, 209700, 290001, 290100, 290151, 290350, 290400, 290440, 290460, 293051, 293251, 297001, 297051, 297101, 297200, 297301, 352011,
352071, 352261, 357001, 357411, 357611, 360001, 364001, 364051, 364061, 364101, 364201, 364251, 364301, 364401, 365910, 365920, 366001, 366401, 376171, 376181, 437521, 517011, 517021, 517031, 623200, 623210, 623220, 623230, 623240, 623250, 623260, 623270, 644000, 644020, 644050, 644080, 644100, 644130, 644150, 644160, 644170, 644180, 644200, 644210, 644250, 644300, 644350, 644450, 644460, 644470, 644480, 644490, 644501, 644610, 644620, 644630, 644790, 644800, 644830, 644840, 644860, 644870, 644880, 644890, 644900, 644910, 644920, 644930, 644940, 644950, 645050, 645100, 645170, 645200, 645300, 645531, 645551, 645751, 645801, 645851, 645901, 645951, 647021, 647041, 647081, 647121, 647131, 647141, 647161, 647181, 647191, 647211, 647221, 647261, 699900, 757101, 757161, 758201, 758221, 760001, 770011, 770021, 870700, 870760, 870770, 871020, 920121, 920141, 930001, 930051, 930101, 930401, 930411, 930421, 933181, 933551, 940021, 942001, 942501, 946801, 946811, 946901, 947701, 958121, 958131, 958161, 958191, 958221, 958291, 958601, 959071, 959081, 959091, 959101, 959111, 959121, 959131, 959551, 963601, 963611, 963651, 963661, 963671, 963681, 963721, 963741, 963751, 963761, 963771, 965230, 991550, 991560, 991570, 992111, 992121, 992131, 992141, 992151, 992171, 992181, 992191, 992201, 992211, 992221, 992231, 992311, 992321, 992331, 992341, 992351, 992361, 992381, 992391, 992411, 992421, 992431, 992441, 992451, 992511, 992521, 992531, 992541, 992551, 992911, 992921, 993041, 993051, 993061, 993071, 993081, 993091, 993101, 993151, 993161, 993341, 993351, 993361, 993371, 993471, 993481, 993491, 993501, 993741, 993751, 993771, 993781, 994460, 994470, 994480, 994490, 994510, 994520, 994950, 994960, G01681, G04631, G04711
ICD-10 CrossRefA18.01, A18.03, C05.0-C05.9, C40.00-C40.02, C40.10-C40.12, C40.20-C40.22, C40.30-C40.32, C41.0-C41.4, C79.51, C79.52, C7B.03, D16.00-D16.02, D16.10-D16.12, D16.20-D16.22, D16.30-D16.32, D16.4-D16.8, D48.0, D49.2, K09.0, M26.00-M26.02, M26.04, M26.05, M26.06, M26.07, M26.09, M26.11, M26.12, M26.19, M26.69, M26.73, M26.74, M27.1, M27.2, M27.40, M27.49, M27.8, M48.50XA, M48.51XA, M48.52XA, M48.53XA, M48.54XA, M48.55XA, M48.56XA, M48.57XA, M48.58XA, M80.08XA, M80.88XA, M84.48XA, M84.58XA, M84.68XA, M86.311-M86.319, M86.321-M86.329,
M86.331-M86.339, M86.341-M86.349, M86.351-M86.359, M86.361-M86.369, M86.371-M86.379, M86.38, M86.39, M86.411-M86.419, M86.421-M86.429, M86.431-M86.439, M86.441-M86.449, M86.451-M86.459, M86.461-M86.469, M86.471-M86.479, M86.48, M86.49, M86.511-M86.519, M86.521-M86.529, M86.531-M86.539, M86.541-M86.549, M86.551-M86.559, M86.561-M86.569, M86.571-M86.579, M86.58, M86.59, M86.611-M86.619, M86.621-M86.629, M86.631-M86.639, M86.641-M86.649, M86.651-M86.659, M86.661-M86.669, M86.671-M86.679, M86.68, M86.69, M86.8X0-M86.8X8, M86.8X3, M86.8X4, M86.8X5, M86.8X6, M86.8X7, M86.8X8, M86.9, M87.08, M87.180, M89.70-M89.79, M89.711-M89.719, M89.721-M89.729, M89.731-M89.739, M89.741-M89.749, M89.751-M89.759, M89.761-M89.769, M89.771-M89.779, M90.811-M90.819, M90.821-M90.829, M90.831-M90.839, M90.841-M90.849, M90.851-M90.859, M90.861-M90.869, M90.871-M90.879, M90.88, M90.89, Q68.8, Q75.0-Q75.9, Q76.0-Q76.2, Q76.411-Q76.419, Q76.49, Q76.6, Q76.7, Q76.8, Q76.9, Q77.0-Q77.2, Q77.4, Q77.5, Q77.6, Q77.7, Q77.8, Q77.9, Q78.0-Q78.4, Q78.8, Q79.8, Q79.9, Q87.0, S01.421A, S01.422A, S01.429A, S01.441A, S01.442A, S01.449A, S01.522A, S01.542A, S07.0XXA, S07.1XXA, S07.8XXA, S07.9XXA, Z85.830
20957Bone graft with microvascular anastomosis; metatarsal
Clinical responsibilityWhen the patient is appropriately prepped and anesthetized, the provider makes a longitudinal, or lengthwise, incision at the donor graft site over the metatarsal area of the foot. She extends the incision down to the level of fascia and muscle. She incises and retracts muscle tissue to expose the grafting area on a metatarsal bone. She localizes the metatarsal bone and then dissects a piece of bone from the metatarsal in a proximal and distal osteotomy. She takes extra care to preserve and dissect the vascular blood supply along with the dissected bone. She ensures satisfactory preparation of the bone graft along with intact vascular supply and then sutures the donor site in a layered fashion. She then turns her attention to the recipient site. She
1701
ICD-10 Cro
ssref Deta
Ilsa
01.04 — a
52.05
ICD-10 CrossRef Detailsa01.04 Typhoid arthritisa01.05 Typhoid osteomyelitisa01.09 Typhoid fever with other complicationsa02.21 Salmonella meningitisa02.22 Salmonella pneumoniaa06.5 Amebic lung abscessa06.6 Amebic brain abscessa15.0 Tuberculosis of lunga15.4 Tuberculosis of intrathoracic lymph nodesa15.5 Tuberculosis of larynx, trachea and bronchusa15.6 Tuberculous pleurisya15.7 Primary respiratory tuberculosisa15.8 Other respiratory tuberculosisa15.9 Respiratory tuberculosis unspecifieda17.0 Tuberculous meningitisa17.1 Meningeal tuberculomaa17.81 Tuberculoma of brain and spinal corda17.82 Tuberculous meningoencephalitisa17.83 Tuberculous neuritisa17.89 Other tuberculosis of nervous systema17.9 Tuberculosis of nervous system, unspecifieda18.01 Tuberculosis of spinea18.02 Tuberculous arthritis of other jointsa18.03 Tuberculosis of other bonesa18.09 Other musculoskeletal tuberculosisa18.10 Tuberculosis of genitourinary system, unspecifieda18.11 Tuberculosis of kidney and uretera18.12 Tuberculosis of bladdera18.13 Tuberculosis of other urinary organsa18.14 Tuberculosis of prostatea18.15 Tuberculosis of other male genital organsa18.16 Tuberculosis of cervixa18.17 Tuberculous female pelvic inflammatory diseasea18.18 Tuberculosis of other female genital organsa18.2 Tuberculous peripheral lymphadenopathya18.31 Tuberculous peritonitisa18.32 Tuberculous enteritisa18.39 Retroperitoneal tuberculosisa18.50 Tuberculosis of eye, unspecifieda18.51 Tuberculous episcleritisa18.52 Tuberculous keratitisa18.53 Tuberculous chorioretinitisa18.54 Tuberculous iridocyclitisa18.59 Other tuberculosis of eyea18.6 Tuberculosis of (inner) (middle) eara18.81 Tuberculosis of thyroid glanda18.84 Tuberculosis of hearta18.89 Tuberculosis of other sitesa19.2 Acute miliary tuberculosis, unspecifieda19.8 Other miliary tuberculosisa19.9 Miliary tuberculosis, unspecifieda20.0 Bubonic plaguea20.2 Pneumonic plaguea20.7 Septicemic plaguea21.1 Oculoglandular tularemiaa21.2 Pulmonary tularemiaa22.1 Pulmonary anthraxa22.9 Anthrax, unspecifieda23.0 Brucellosis due to Brucella melitensisa23.1 Brucellosis due to Brucella abortusa23.2 Brucellosis due to Brucella suisa23.3 Brucellosis due to Brucella canisa27.0 Leptospirosis icterohemorrhagicaa27.81 Aseptic meningitis in leptospirosisa27.89 Other forms of leptospirosisa28.0 Pasteurellosisa28.8 Other specified zoonotic bacterial diseases, not elsewhere classifieda28.9 Zoonotic bacterial disease, unspecifieda30.0 Indeterminate leprosya31.0 Pulmonary mycobacterial infectiona31.8 Other mycobacterial infectionsa32.0 Cutaneous listeriosisa32.11 Listerial meningitisa32.12 Listerial meningoencephalitisa32.7 Listerial sepsisa32.81 Oculoglandular listeriosisa32.82 Listerial endocarditisa32.89 Other forms of listeriosisa32.9 Listeriosis, unspecified
a34 Obstetrical tetanusa36.0 Pharyngeal diphtheriaa36.1 Nasopharyngeal diphtheriaa36.2 Laryngeal diphtheriaa36.89 Other diphtheritic complicationsa37.00 Whooping cough due to Bordetella pertussis without pneumoniaa37.01 Whooping cough due to Bordetella pertussis with pneumoniaa37.10 Whooping cough due to Bordetella parapertussis without pneumoniaa37.11 Whooping cough due to Bordetella parapertussis with pneumoniaa37.80 Whooping cough due to other Bordetella species without pneumoniaa37.81 Whooping cough due to other Bordetella species with pneumoniaa37.90 Whooping cough, unspecified species without pneumoniaa37.91 Whooping cough, unspecified species with pneumoniaa38.8 Scarlet fever with other complicationsa39.0 Meningococcal meningitisa39.1 Waterhouse-Friderichsen syndromea39.2 Acute meningococcemiaa39.3 Chronic meningococcemiaa39.4 Meningococcemia, unspecifieda39.50 Meningococcal carditis, unspecifieda39.51 Meningococcal endocarditisa39.52 Meningococcal myocarditisa39.53 Meningococcal pericarditisa39.81 Meningococcal encephalitisa39.82 Meningococcal retrobulbar neuritisa39.83 Meningococcal arthritisa39.84 Postmeningococcal arthritisa39.89 Other meningococcal infectionsa39.9 Meningococcal infection, unspecifieda40.3 Sepsis due to Streptococcus pneumoniaea40.9 Streptococcal sepsis, unspecifieda41.01 Sepsis due to Methicillin susceptible Staphylococcus aureusa41.02 Sepsis due to Methicillin resistant Staphylococcus aureusa41.1 Sepsis due to other specified staphylococcusa41.2 Sepsis due to unspecified staphylococcusa41.3 Sepsis due to Hemophilus influenzaea41.4 Sepsis due to anaerobesa41.50 Gram-negative sepsis, unspecifieda41.51 Sepsis due to Escherichia coli [E. coli]a41.52 Sepsis due to Pseudomonasa41.53 Sepsis due to Serratiaa41.59 Other Gram-negative sepsisa41.89 Other specified sepsisa41.9 Sepsis, unspecified organisma42.0 Pulmonary actinomycosisa42.2 Cervicofacial actinomycosisa42.82 Actinomycotic encephalitisa42.89 Other forms of actinomycosisa43.0 Pulmonary nocardiosisa43.8 Other forms of nocardiosisa48.1 Legionnaires' diseasea50.30 Late congenital syphilitic oculopathy, unspecifieda50.32 Late congenital syphilitic chorioretinitisa50.40 Late congenital neurosyphilis, unspecifieda50.41 Late congenital syphilitic meningitisa50.42 Late congenital syphilitic encephalitisa50.43 Late congenital syphilitic polyneuropathya50.44 Late congenital syphilitic optic nerve atrophya50.45 Juvenile general paresisa50.49 Other late congenital neurosyphilisa50.51 Clutton's jointsa50.52 Hutchinson's teetha50.53 Hutchinson's triada50.54 Late congenital cardiovascular syphilisa50.55 Late congenital syphilitic arthropathya50.56 Late congenital syphilitic osteochondropathya50.57 Syphilitic saddle nosea50.59 Other late congenital syphilis, symptomatica51.41 Secondary syphilitic meningitisa51.44 Secondary syphilitic nephritisa51.45 Secondary syphilitic hepatitisa51.46 Secondary syphilitic osteopathya51.49 Other secondary syphilitic conditionsa52.00 Cardiovascular syphilis, unspecifieda52.01 Syphilitic aneurysm of aortaa52.02 Syphilitic aortitisa52.03 Syphilitic endocarditisa52.04 Syphilitic cerebral arteritisa52.05 Other cerebrovascular syphilis
1702
ICD-10 CrossRef DetailsCoders’ Specialty Guide 2021: OrthopedicsIC
D-1
0 Cr
oss
ref
Det
aIl
sa
52.0
6 —
B40
.2a52.06 — B40.2
a52.06 Other syphilitic heart involvementa52.09 Other cardiovascular syphilisa52.10 Symptomatic neurosyphilis, unspecifieda52.11 Tabes dorsalisa52.12 Other cerebrospinal syphilisa52.13 Late syphilitic meningitisa52.14 Late syphilitic encephalitisa52.15 Late syphilitic neuropathya52.16 Charcot's arthropathy (tabetic)a52.17 General paresisa52.19 Other symptomatic neurosyphilisa52.2 Asymptomatic neurosyphilisa52.3 Neurosyphilis, unspecifieda52.72 Syphilis of lung and bronchusa52.78 Syphilis of other musculoskeletal tissuea54.41 Gonococcal spondylopathya54.49 Gonococcal infection of other musculoskeletal tissuea54.81 Gonococcal meningitisa54.82 Gonococcal brain abscessa54.83 Gonococcal heart infectiona54.89 Other gonococcal infectionsa69.0 Necrotizing ulcerative stomatitisa80.0 Acute paralytic poliomyelitis, vaccine-associateda80.1 Acute paralytic poliomyelitis, wild virus, importeda80.2 Acute paralytic poliomyelitis, wild virus, indigenousa80.30 Acute paralytic poliomyelitis, unspecifieda80.39 Other acute paralytic poliomyelitisa80.4 Acute nonparalytic poliomyelitisa80.9 Acute poliomyelitis, unspecifieda81.00 Creutzfeldt-Jakob disease, unspecifieda81.01 Variant Creutzfeldt-Jakob diseasea81.09 Other Creutzfeldt-Jakob diseasea81.1 Subacute sclerosing panencephalitisa81.2 Progressive multifocal leukoencephalopathya81.81 Kurua81.82 Gerstmann-Straussler-Scheinker syndromea81.83 Fatal familial insomniaa81.89 Other atypical virus infections of central nervous systema81.9 Atypical virus infection of central nervous system, unspecifieda82.0 Sylvatic rabiesa82.1 Urban rabiesa82.9 Rabies, unspecifieda83.0 Japanese encephalitisa83.1 Western equine encephalitisa83.2 Eastern equine encephalitisa83.3 St Louis encephalitisa83.4 Australian encephalitisa83.5 California encephalitisa83.6 Rocio virus diseasea83.8 Other mosquito-borne viral encephalitisa83.9 Mosquito-borne viral encephalitis, unspecifieda84.0 Far Eastern tick-borne encephalitis [Russian spring-summer
encephalitis]a84.1 Central European tick-borne encephalitisa84.8 Other tick-borne viral encephalitisa84.9 Tick-borne viral encephalitis, unspecifieda85.0 Enteroviral encephalitisa85.1 Adenoviral encephalitisa85.2 Arthropod-borne viral encephalitis, unspecifieda85.8 Other specified viral encephalitisa86 Unspecified viral encephalitisa87.0 Enteroviral meningitisa87.1 Adenoviral meningitisa87.2 Lymphocytic choriomeningitisa87.8 Other viral meningitisa87.9 Viral meningitis, unspecifieda88.0 Enteroviral exanthematous fever [Boston exanthem]a88.1 Epidemic vertigoa88.8 Other specified viral infections of central nervous systema89 Unspecified viral infection of central nervous systema92.2 Venezuelan equine fevera92.30 West Nile virus infection, unspecifieda92.31 West Nile virus infection with encephalitisa92.32 West Nile virus infection with other neurologic manifestationa92.39 West Nile virus infection with other complicationsB00.3 Herpesviral meningitisB00.4 Herpesviral encephalitisB00.50 Herpesviral ocular disease, unspecifiedB00.51 Herpesviral iridocyclitisB00.52 Herpesviral keratitisB00.53 Herpesviral conjunctivitisB00.59 Other herpesviral disease of eyeB00.7 Disseminated herpesviral diseaseB00.82 Herpes simplex myelitisB01.11 Varicella encephalitis and encephalomyelitis
B01.2 Varicella pneumoniaB01.89 Other varicella complicationsB01.9 Varicella without complicationB02.0 Zoster encephalitisB02.1 Zoster meningitisB02.21 Postherpetic geniculate ganglionitisB02.22 Postherpetic trigeminal neuralgiaB02.23 Postherpetic polyneuropathyB02.24 Postherpetic myelitisB02.29 Other postherpetic nervous system involvementB02.30 Zoster ocular disease, unspecifiedB02.31 Zoster conjunctivitisB02.32 Zoster iridocyclitisB02.33 Zoster keratitisB02.34 Zoster scleritisB02.39 Other herpes zoster eye diseaseB02.7 Disseminated zosterB02.8 Zoster with other complicationsB02.9 Zoster without complicationsB05.0 Measles complicated by encephalitisB05.2 Measles complicated by pneumoniaB05.3 Measles complicated by otitis mediaB05.4 Measles with intestinal complicationsB05.89 Other measles complicationsB05.9 Measles without complicationB06.00 Rubella with neurological complication, unspecifiedB06.01 Rubella encephalitisB06.02 Rubella meningitisB06.09 Other neurological complications of rubellaB06.81 Rubella pneumoniaB06.89 Other rubella complicationsB06.9 Rubella without complicationB15.0 Hepatitis A with hepatic comaB16.0 Acute hepatitis B with delta-agent with hepatic comaB16.2 Acute hepatitis B without delta-agent with hepatic comaB17.0 Acute delta-(super) infection of hepatitis B carrierB17.11 Acute hepatitis C with hepatic comaB17.2 Acute hepatitis EB18.0 Chronic viral hepatitis B with delta-agentB18.1 Chronic viral hepatitis B without delta-agentB19.0 Unspecified viral hepatitis with hepatic comaB19.11 Unspecified viral hepatitis B with hepatic comaB19.20 Unspecified viral hepatitis C without hepatic comaB19.21 Unspecified viral hepatitis C with hepatic comaB20 Human immunodeficiency virus [HIV] diseaseB25.0 Cytomegaloviral pneumonitisB25.1 Cytomegaloviral hepatitisB25.2 Cytomegaloviral pancreatitisB25.9 Cytomegaloviral disease, unspecifiedB26.1 Mumps meningitisB26.2 Mumps encephalitisB26.84 Mumps polyneuropathyB26.89 Other mumps complicationsB26.9 Mumps without complicationB27.00 Gammaherpesviral mononucleosis without complicationB27.09 Gammaherpesviral mononucleosis with other complicationsB27.10 Cytomegaloviral mononucleosis without complicationsB27.19 Cytomegaloviral mononucleosis with other complicationB27.80 Other infectious mononucleosis without complicationB27.89 Other infectious mononucleosis with other complicationB27.90 Infectious mononucleosis, unspecified without complicationB27.99 Infectious mononucleosis, unspecified with other complicationB33.20 Viral carditis, unspecifiedB33.21 Viral endocarditisB33.22 Viral myocarditisB33.23 Viral pericarditisB37.1 Pulmonary candidiasisB37.5 Candidal meningitisB37.6 Candidal endocarditisB37.7 Candidal sepsisB38.0 Acute pulmonary coccidioidomycosisB38.1 Chronic pulmonary coccidioidomycosisB38.2 Pulmonary coccidioidomycosis, unspecifiedB38.3 Cutaneous coccidioidomycosisB38.4 Coccidioidomycosis meningitisB39.0 Acute pulmonary histoplasmosis capsulatiB39.1 Chronic pulmonary histoplasmosis capsulatiB39.2 Pulmonary histoplasmosis capsulati, unspecifiedB39.3 Disseminated histoplasmosis capsulatiB39.4 Histoplasmosis capsulati, unspecifiedB39.5 Histoplasmosis duboisiiB39.9 Histoplasmosis, unspecifiedB40.0 Acute pulmonary blastomycosisB40.1 Chronic pulmonary blastomycosisB40.2 Pulmonary blastomycosis, unspecified
2065
Mo
difier d
escriptors
22 — A
i
CPT® is a registered trademark of the American Medical Association. All rights reserved. CPT © 2020 American Medical Association. All rights reserved.
Modifier DescriptorsModifier description
cpt® Modifiers
22 Increased Procedural Services
23 Unusual Anesthesia
24 Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period
25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service
26 Professional Component
27 Multiple Outpatient Hospital E/M Encounters on the Same Date
32 Mandated Services
33 Preventive Services
47 Anesthesia by Surgeon
50 Bilateral Procedure
51 Multiple Procedures
52 Reduced Services
53 Discontinued Procedure
54 Surgical Care Only
55 Postoperative Management Only
56 Preoperative Management Only
57 Decision for Surgery
58 Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period
59 Distinct Procedural Service
62 Two Surgeons
63 Procedure Performed on Infants less than 4 kg
66 Surgical Team
73 Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthesia
74 Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia
76 Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
77 Repeat Procedure by Another Physician or Other Qualified Health Care Professional
78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period
Modifier description
79 Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period
80 Assistant Surgeon
81 Minimum Assistant Surgeon
82 Assistant Surgeon (when qualified resident surgeon not available)
90 Reference (Outside) Laboratory
91 Repeat Clinical Diagnostic Laboratory Test
92 Alternative Laboratory Platform Testing
95 Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System
96 Habilitative Services
97 Rehabilitative Services
99 Multiple Modifiers
category ii Modifiers
1p Performance Measure Exclusion Modifier due to Medical Reasons
2p Performance Measure Exclusion Modifier due to Patient Reasons
3p Performance Measure Exclusion Modifier due to System Reasons
8p Performance Measure Reporting Modifier - Action Not Performed, Reason Not Otherwise Specified
Hcpcs Modifiers
A1 Dressing for one wound
A2 Dressing for two wounds
A3 Dressing for three wounds
A4 Dressing for four wounds
A5 Dressing for five wounds
A6 Dressing for six wounds
A7 Dressing for seven wounds
A8 Dressing for eight wounds
A9 Dressing for nine or more wounds
AA Anesthesia services performed personally by anesthesiologist
Ad Medical supervision by a physician: more than four concurrent anesthesia procedures
Ae Registered dietician
Af Specialty physician
AG Primary physician
AH Clinical psychologist
Ai Principal physician of record
2066
Modifier DescriptorsCoders’ Specialty Guide 2021: OrthopedicsM
od
ifie
r d
escr
ipto
rsA
J — e
dAJ — ed
CPT® is a registered trademark of the American Medical Association. All rights reserved. CPT © 2020 American Medical Association. All rights reserved.
Modifier description
AJ Clinical social worker
AK Non participating physician
AM Physician, team member service
Ao Alternate payment method declined by provider of service
Ap Determination of refractive state was not performed in the course of diagnostic ophthalmological examination
AQ Physician providing a service in an unlisted health professional shortage area (HPSA)
Ar Physician provider services in a physician scarcity area
As Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
At Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
AU Item furnished in conjunction with a urological, ostomy, or tracheostomy supply
AV Item furnished in conjunction with a prosthetic device, prosthetic or orthotic
AW Item furnished in conjunction with a surgical dressing
AX Item furnished in conjunction with dialysis services
AY Item or service furnished to an ESRD patient that is not for the treatment of ESRD
AZ Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment
BA Item furnished in conjunction with parenteral enteral nutrition (PEN) services
BL Special acquisition of blood and blood products
Bo Orally administered nutrition, not by feeding tube
Bp The beneficiary has been informed of the purchase and rental options and has elected to purchase the item
Br The beneficiary has been informed of the purchase and rental options and has elected to rent the item
BU The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision
cA Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
cB Service ordered by a renal dialysis facility (RDF) physician as part of the ESRD beneficiary’s dialysis benefit, is not part of the composite rate, and is separately reimbursable
cc Procedure code change (use ‘CC’ when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
cd AMCC test has been ordered by an ESRD facility or MCP physician that is part of the composite rate and is not separately billable
Modifier description
ce AMCC test has been ordered by an ESRD facility or MCP physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity
cf AMCC test has been ordered by an ESRD facility or MCP physician that is not part of the composite rate and is separately billable
cG Policy criteria applied
cH 0 percent impaired, limited or restricted
ci At least 1 percent but less than 20 percent impaired, limited or restricted
cJ At least 20 percent but less than 40 percent impaired, limited or restricted
cK At least 40 percent but less than 60 percent impaired, limited or restricted
cL At least 60 percent but less than 80 percent impaired, limited or restricted
cM At least 80 percent but less than 100 percent impaired, limited or restricted
cN 100 percent impaired, limited or restricted
co Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant
cQ Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
cr Catastrophe/disaster related
cs Item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the 2010 oil spill in the Gulf of Mexico, including but not limited to subsequent clean-up activities
ct Computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association (NEMA) XR-29-2013 standard
dA Oral health assessment by a licensed health professional other than a dentist
e1 Upper left, eyelid
e2 Lower left, eyelid
e3 Upper right, eyelid
e4 Lower right, eyelid
eA Erythropoietic stimulating agent (ESA) administered to treat anemia due to anti-cancer chemotherapy
eB Erythropoietic stimulating agent (ESA) administered to treat anemia due to anti-cancer radiotherapy
ec Erythropoietic stimulating agent (ESA) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy
ed Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 G/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
2075
Termin
olo
gy
Abduction —
Alveolar bone
Terminology Terminology explanation
Abduction Movement of the body part away from the medial line of the body.
Abduction pillow or splint A medical device used to immobilize an extremity after a surgical procedure to help decrease the risk of a dislocation.
Abductor Muscle that draws a body part away from the midline of the body.
Abductor hallucis muscle Muscle of the great toe which draws it away from the body.
Abductor muscle of hip A group of muscles in the buttock that lifts the thigh out to the side.
Ablation Removal of tissue, a body part, or an organ or destruction of its function.
Abrasion arthroplasty Refinishing the surfaces of a joint through a grinding process.
Abscess A collection of pus in a walled off sac or pocket, caused by infection.
Abscess cavity Pocket formed due to the accumulation of purulent material, pus.
Accessory navicular bone An extra bone on the inner side of the foot that can cause irritation and require removal.
Acetabular rim Margin of the acetabulum.
Acetabulum A hollow cavity or socket within the hip bone that receives the ball at the top end of the femur, or thighbone.
Achilles Tendon at the heel, or calcaneal tendon.
Achilles tendon Large tendon at the back the heel that connects the muscles of the calf to the calcaneal bone, or heel; also called tendo calcaneus.
Acromioclavicular joint A joint between the acromion process of the scapula, or shoulder blade, and the clavicle, or collar bone.
Acromioclavicular, or AC, joint
Union of the acromion, a bony projection on the shoulder blade, and the clavicle, or collar bone.
Acromion A bony process, or projection, on the scapula, or shoulder blade, that extends over the joint.
Acromionectomy Surgical excision of the acromion, a bony projection on scapula, or shoulder blade, that extends over the joint.
Acromioplasty Surgical revision of the acromion, a bony projection on the end of the shoulder blade, to relieve compression on the rotator cuff.
Acute A medical condition or injury of sudden onset, sometimes severe in nature, and typically lasts a short period of time; opposite of chronic.
Adductor A muscle that helps a body part to move toward the centerline of the body or limb.
Adductor aponeurosis A thin band of tissue that separates the two ends of ulnar collateral ligaments.
Adductor muscle Group of muscles that pulls the body part towards the midline of the body.
Adductors A group of muscles of the thigh that moves the thigh toward the midline of the body.
Adductors of hip Group of muscles that moves the thigh toward the midline of the body.
Adhesiolysis Freeing up adhesions by cutting and dividing, typically with a combination of sharp and blunt dissection.
Adhesions Fibrous bands, which typically result from inflammation or injury during surgery, that form between tissues and organs; they may be thought of as internal scar tissue.
Advance directive A document which enables a person to make provision for his health care decisions in case if in the future, he becomes unable to make those decisions; include documents such as a living will and a medical power of attorney.
Algorithm A specific set of step-by-step calculations using defined inputs at each step to produce a useful output.
Allograft A tissue graft harvested from one person for another; donors include cadavers and living individuals related or unrelated to the recipient; also called allogeneic graft and homograft.
Alveolar bone The alveolar bone contains the tooth sockets; also called the alveolar ridge or alveolar process.
2076
TerminologyCoders’ Specialty Guide 2021: OrthopedicsTe
rmin
olo
gy
Alv
eola
r cle
ft —
Ant
iinfla
mm
ator
yAlveolar cleft — Antiinflammatory
Terminology explanation
Alveolar cleft Congenital defect in which a cleft, or gap, occurs in the alveolar arch, the tooth bearing portion of the jaw bone.
Ambulatory The ability to walk or suitability for walking.
Ambulatory care Medical care rendered in an outpatient setting, i.e., not requiring an overnight stay in a hospital.
Amputate Removal of a limb or digit.
Amputation Surgical removal of a body extremity, commonly to control pain or progression of a disease in the affected limb.
Analgesic Medicines that give relief from pain.
Anastomosis Connection between two structures, anatomical or surgically created, such as between two blood vessels or the colon after resection of a part; types of anastomoses include end to side and side to side.
Anatomic alignment Normal position; refers primarily to skeletal structures; malalignment refers to skeletal structures that are out of their normal position.
Anatomical neck humerus The portion of the humerus that separates the greater and lesser tubercles from the humeral head, or the forearm muscles.
Anatomical position The position of human body taken as a reference while explaining the orientation of body parts amongst themselves, the position includes the person standing with neck and spine erect, looking in front, square shoulders, arms by the side, and palms rotated to face forwards.
Anconeus A small muscle near the elbow.
Anesthesia A medication induced state that reduces or eliminates sensitivity to pain, depending upon the type of anesthesia administered; general anesthesia renders the patient completely unconscious, while local or regional anesthesia reduces sensation to pain in specific areas of the body.
Anesthetic Substance that reduces sensitivity to pain.
Aneurysm Weakness in the wall of a blood vessel or wall of a ventricle of the heart, typically the left ventricle, causing the wall to balloon out; sometimes requiring surgical excision or repair to prevent rupture.
Ankle joint Joint composed by the tibia, the fibula, and the talus.
Ankylosis A condition following an injury, surgery, or infection, which leads to stiffness or fusion, or permanent fixation, of a joint.
Annulus fibrosus Fibrous outer ring of the intervertebral disk, the cartilage cushion between the interlocking bones in the spine; also known as the annular ring.
Anterior Closer to the front part of the body or a structure.
Anterior approach Surgical approach from the front, in this case from the front of the spine.
Anterior capsule The front part of the joint capsule that envelopes the elbow joint.
Anterior cruciate ligament, or ACl
Strong fibrous tissue that connects the upper tibia, one of the lower leg bones, to the base of the femur, or thigh bone, holding the patella, or knee cap, in place and ensuring stability of the knee joint; the ACL passes diagonally in front of the posterior cruciate ligament, or PCL.
Anterior inferior iliac spine Bony projection in the front border of the hip bone.
Anterior instrumentation Spinal fixation device that attaches to the front of the spine.
Anterior interbody technique
Spinal fusion through an anterior, or front, approach, through the neck for cervical vertebrae, the chest for thoracic vertebrae, the abdomen for lumbar vertebrae.
Anterior intrusion Abnormal projection of a structure in a frontward direction.
Anterior superior iliac spine Front projection of the iliac crest in the hip.
Anterior technique Spinal fusion from the anterior, or front, portion of the vertebrae.
Anterior tibial extensors Muscle of anterior part of leg.
Anteroposterior view The X-ray projection travels from front to back, abbreviated as AP.
Anterosuperior iliac spine Front projection of the iliac crest in the hip.
Antibiotic A substance that inhibits infection.
Anticoagulant A drug that prevents clot formation within the blood vessels and dissolves any blood clot formed previously.
Antiinflammatory Substance that reduces pain, swelling, and inflammation.
2121
Cod
e Ind
ex0274T —
21268
Codes Page no.0274T 1675
0275T 1675
0335T 1676
+0396T 1677
0489T 1678
0490T 1678
0508T 1679
0510T 1680
0511T 1681
0547T 1682
0554T 1682
0555T 1683
0556T 1683
0557T 1684
0565T 1685
0566T 1685
10035 5
+10036 5
20100 7
20101 7
20102 8
20103 9
20150 10
20200 11
20205 12
20206 14
20220 15
20225 16
20240 17
20245 18
20250 20
20251 21
20500 21
20501 22
20520 23
20525 24
20526 25
20527 26
20550 27
20551 28
20552 29
Codes Page no.20553 30
20555 31
20560 32
20561 32
20600 33
20604 34
20605 35
20606 36
20610 36
20611 37
20612 38
20615 39
20650 39
20660 40
20661 41
20662 42
20663 44
20664 44
20665 45
20670 46
20680 47
20690 48
20692 49
20693 50
20694 51
20696 52
20697 53
20802 54
20805 55
20808 56
20816 57
20822 58
20824 60
20827 61
20838 62
20900 63
20902 64
20910 65
20912 65
20920 66
20922 67
Codes Page no.20924 68
+20930 69
+20931 70
+20936 71
+20937 71
+20938 72
+20939 73
20950 73
20955 74
20956 75
20957 76
20962 78
20969 79
20970 79
20972 81
20973 82
20974 83
20975 84
20979 84
20982 85
20983 86
+20985 86
20999 87
21010 87
21011 88
21012 89
21013 90
21014 90
21015 91
21016 92
21025 93
21026 94
21029 94
21030 95
21031 96
21032 97
21034 97
21040 98
21044 99
21045 100
21046 100
Codes Page no.21047 101
21048 102
21049 103
21050 104
21060 104
21070 105
21073 106
21076 107
21077 107
21079 108
21080 109
21081 110
21082 110
21083 111
21084 112
21085 112
21086 113
21087 114
21088 115
21089 116
21100 116
21110 117
21116 118
21120 118
21121 119
21122 120
21123 121
21125 122
21127 122
21137 123
21138 124
21139 125
21141 125
21142 126
21143 127
21145 128
21146 129
21147 129
21150 130
21151 131
21154 132
Codes Page no.21155 133
21159 133
21160 134
21172 135
21175 136
21179 137
21180 138
21181 139
21182 139
21183 140
21184 141
21188 142
21193 143
21194 144
21195 145
21196 145
21198 146
21199 147
21206 148
21208 148
21209 149
21210 150
21215 151
21230 152
21235 153
21240 154
21242 154
21243 155
21244 156
21245 157
21246 158
21247 159
21248 160
21249 160
21255 161
21256 162
21260 163
21261 164
21263 164
21267 165
21268 166
Code Index
ISBN: 978-1-635277-715eBook ISBN: 978-1-635277-937
CSG: Orthopedics 2021
2233 South Presidents Dr., Suites F–CSalt Lake City, Utah 84120. Fax 801-236-2258www.aapc.com | 800-626-2633
9 781635 277715
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