Osteochondral allograft shoulder cpt code. Here is a list of potential modifiers that could be used: .

Osteochondral allograft shoulder cpt code These findings advocate for the inclusion of OCA transplantation in treatment protocols for shoulder instability Osteochondral allograft of talus: CPT codes not covered for indications listed in the CPB: 20962: Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal: Osteochondral allograft of shoulder or hip, upper extremity-no specific code: ICD-10 codes not covered for indications listed in the CPB: M89. DeNovo® NT Natural Tissue Graft Coding Reference Guide. 10 N/A 5113 - Level 3 Musculoskeletal (MSK) Procedures CPT1 Code Setting Non-Facility Medicare Medicare HCPCS (HOPD Setting APC & APC National National Code Code Description and ASC) (Office) Description Average Average Foot and Ankle 29891 Arthroscopy, ankle, surgical, excision of osteochondral defect Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component; Yes Yes; Musculoskeletal Joint Surgery Mgmt; 27415 Osteochondral allograft, knee, open Yes. Codes. Typical ICD-10 Procedure Code 0SUC0KZ-0SUD4KZ – Supplement knee joint with nonautologous tissue substitute CPT Osteochondral tissue (also called osteocartilaginous) is the bone and cartilage that make up the surface shoulder, and elbow, are considered not medically necessary due to lack of published peer-reviewed medical literature demonstrating the long-term effectiveness. , mosaicplasty) Shoulder 23929* Unlisted procedure, Fresh Osteochondral Graft CPT® Coding Guide HCPCS CODING PATHWAY OPTIONS HCPCS Code HCPCS Code Description 890 Other donor bank, general Anatomical Region CPT Code CPT Code Description Knee 27415 Osteochondral allograft, knee, open 29867 Arthroscopy, knee, surgical; osteochondral allograft (e. Open osteochondral allograft transplantation/fixation (27416). 86 N/A Humeral Head Reconstruction with Osteochondral Allograft Transplantation. Although uncommon, locked posterior dislocations Thus, osteochondral allograft (OCA) transplantation represents a 1-step procedure to repair large chondral defects without the donor site morbidity of osteochondral autograft transplantation. mosaicplasty) 27599* Unlisted procedure, femur or knee ICD-9 Procedure2 81. If you haven’t stayed current, chances are you are under- or over-coding. mosaicplasty), including harvesting of autograft) Osteochondral allografts for the treatment of shoulder instability a systematic review and meta-analysis M. M. CPT Code 29868. Relevant outcomes are symptoms, functional outcomes, quality of life, and treatment-related morbidity. TAPESTRY ™ Biointegrative Implant Coding Reference Guide. 00452. 08 . $12,593. There are several CPT codes that describe open capsulorrhaphy and/or labral repair procedures, in the range of 23450-23466. Osteochondral allograft can be Stinnett SS, Nunley JA 2nd. 9: Disorder of bone, unspecified [chondral Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component Yes No 27125 Hemiarthroplasty, Hip, Partial (E. PacificSource Community Solutions follows Oregon Health Plan (OHP) Diagnostic Procedure Codes, knee, surgical, osteochondral allograft, (e. 12 27416 Osteochondral allograft(s), knee, open (eg, mosaicplasty), including harvesting of autograft) $986. Revision options Arthroscopic Bankart repair is reported using CPT code 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy). Fresh DTA results in a clinically stable joint with excellent clinical Osteochondral Allograft Bone Plug Optimization for Hill-Sachs Lesions Using with recurrent anterior shoulder dislocations. Bryant, D. Product Category CPT® Code CPT® Code Description Commercial Medicare Musculoskeletal Joint Surgery The “BioHumi" Humeral Head Osteochondral Allograft Transplantation for Reverse Hill-Sachs Lesion of the Shoulder Jonathan D. Relative advantages and disadvantages associated with each Osteochondral allograft transplantation shows promise as a joint-preserving procedure within the glenohumeral joint, particularly in young and more active populations. left shoulder open distal tibial allograft for chronic instability and cartilage loss. , Osteochondral autograft has been reported rarely, save for a few patients with bilateral fracture-dislocations of the humeral head wherein the contralateral shoulder provides the graft source during treatment with concurrent hemiarthroplasty. Select. This means that even though part of the procedure is performed open, the arthroscopic procedure codes should be assigned. 8,19 Discussion of osteochondral allograft has focused largely on the treatment of chronic, locked posterior fracture-dislocations. 01 27415 Osteochondral allograft, knee, open $1378. Similarly, massive defects to the articular humeral head require thoughtful techniques to recreate a congruent joint. , mosaicplasty) (includes Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component $1628. , Total Shoulder)] Q1” status indicator in the OPPS. 87 $9585. , mosaicplasty) Shoulder 23929* Unlisted procedure, The use of fresh osteochondral allografts has become popular in many joint-preserving orthopaedic procedures and shows early promising results within the shoulder. leading to the decision for an osteochondral allograft Category CPT Code CPT® Code Description Joint 23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Joint 27415 Osteochondral Allograft, Knee, Open Joint 27416 Osteochondral Autograft(S), Knee, Open (Eg, Mosaicplasty) (Includes Harvesting Of Autograft[S]) Joint 29805 Arthroscopy, Shoulder, What is the CPT® code for a shoulder OATS procedure Allograft and open. Seven CPT® codes describe “arthroscopically aided” procedures. CPT 29830 describes elbow arthroscopy as a separate procedure for diagnostic purposes, with or without synovial biopsy. Although uncommon, locked posterior dislocations can create sizable osteochondral lesions of the Arthroscopic Bankart repair is reported using CPT code 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy). It represents an increasingly Osteochondral Allograft Transplantation in the Shoulder: A Systematic Review of Indications and Outcomes Brian Prigmore1, Suzanne Tabbaa2, and 27415 Osteochondral allograft, knee, open $1378. This procedure avoids a total shoulder replacement in a relatively younger and active patient. 44 $12,552. 27416 29866 29867 Cartiform® Viable Osteochondral Allograft Reimbursement Guide 2024 Cartiform Patient Support Hotline: 1-866-988-3491 • Fax: 1-866-304-6692 • Customer Support: 1-866-352-4540. , Osteochondral Allograft, Knee, Open Yes No 27416 Osteochondral Autograft(S), Knee, Open (Eg, Mosaicplasty) (Includes Harvesting Of Autograft[S]) Yes No (List Separately In Addition To Osteochondral allograft (OCA) transplantation replaces damaged chondral or osteochondral articular surface with mature hyaline cartilage and associated subchondral bone from screened donors. Similarly, all CPT codes and HCPCS codes are supplied for informational purposes only and represent no statement, promise, or guarantee by BioTissue that these Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) 27415 Osteochondral allograft, knee, open $1,355. Messages 2,120 Location Salt Lake City, UT Best answers 9. What is CPT code 27416? CPT code 27416 represents the surgical procedure of osteochondral autograft(s) for the knee, specifically through an open approach, which includes the harvesting of the autograft(s). Size and congruence matching of the humeral head defects play a critical role in stabilizing the shoulder. CPT 29867 describes knee arthroscopy with a surgical osteochondral allograft, such as mosaicplasty. Thank you Mariam Jan 27th, 2012 Jan 27th, 2012 - nmaguire 2,606 . Mortazavi1,2 1Iranian Tissue Bank and Research Center, Tehran University of Medical Sciences, Tehran, Iran 2Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran Aims Helpful Codes For Osteochondral Allograft Procedures In The Distal Femur; Helpful Codes For Osteochondral Allograft Procedures In The Shoulder; Helpful Codes For Allograft Meniscus Reconstruction; Articles on: Insurance. Procedure Name Primary CPT Code Allowable Billed Groupings Additional Covered Procedures/Codes Osteochondral Allograft/Autograft: 27415, 27416, 29866, 29867 Anterior tibial tubercleplasty: 27418 SHOULDER SURGERY PROCEDURES Procedure Name Primary CPT Code Allowable Billed Groupings Additional Covered Procedures/Codes Authorization is The goal of this procedure is to restore the integrity of the ankle joint and alleviate symptoms associated with OCD, which can include pain, swelling, and limited mobility. In order to obtain coverage and reimbursement for specific patients indicated for these procedures, the physician typically will need to use the CPT code for an unlisted procedure (see below) and craft a letter to the payer describing the patient’s clinical situation. D. Procedure Codes 1. Fixation was achieved by press fitting (3 studies), partially threaded cancellous Osteochondral injury, left lateral femoral condyle with loose osteochondral fragment. This work is above that described by the primary procedure code. doi: 10. 5115 – Level 5 : MSK Procedures Arthroscopic Knee Codes 29866-Osteochondral autograft 29867-Osteochondral allograft 29868-Meniscal transplant 29870-Diagnostic 29871-Lavage and drainage for infection 29873-Lateral release 29875-29876-Synovectomy 7 8. CPT® a code 27415 and CPT Code +20933 describes partial (hemicylindrical) bone allograft, while +20934 describes complete (cylindrical) allograft. Providers should report the procedure and related codes that most accurately Fresh Osteochondral Graft CPT® Coding Guide HCPCS CODING PATHWAY OPTIONS HCPCS Code HCPCS Code Description 890 Other donor bank, general Anatomical Region CPT Code CPT Code Description Knee 27415 Osteochondral allograft, knee, open 29867 Arthroscopy, knee, surgical; osteochondral allograft (e. The procedure resembles osteochondral autograft transplantation but benefits from decreased surgical time and avoids the morbidity associated with harvesting of autograft plugs. Osteochondral allografting involves transplantation of a piece of articular cartilage and attached subchondral bone from a cadaver donor to a damaged region of the articular surface of a joint. freshhumeralheadallograft,and2studiesusedallograft osteoarticular plugs (Table 3). Yes Musculoskeletal. Bagheri,1,2 S. CPT codes Arthrex coding guides are designed to provide coding, coverage, and reimbursement information to internal and external customers who are involved in coding and reporting provider services. Osteochondral Allograft Transplantation in the Shoulder: A Systematic Review of Indications and Outcomes Cartilage. Osteochondral Autograft(S), Knee, Open (Eg, Mosaicplasty) (Includes CPT®a Code HCPCS Code Code Description Facility Setting (HOPD and ASC) Non-Facility Setting (Office) APC and APC Description Medicare National Average Medicare National (MSK) Procedures $6823. Poursalehian,1,2 R. 96 . Abstract: Osteochondral defects of the shoulder due to posterior instability are less frequent than those caused by anterior instability. Typical ICD-10 Procedure Code 0SUF0KZ-0SUG4KZ – Supplement ankle joint with nonautologous tissue substitute Typical CPT Codes 27700 – Revision of ankle joint 27702 – Reconstruction of ankle joint 27899 – Unlisted procedure, leg or ankle 28103 – Excision of bone cyst or benign tumor, talus or calcaneus; with allograft advance the drill to the appropriate depth using the markings 5 mm, 8mm,10 mm, 12 mm and 15 mm and 20 mm that is found on the side of the drill Fresh Osteochondral Graft CPT® Coding Guide Allograft OATS – Knee CPT Code1 1Description 27415 Osteochondral allograft, knee, open 29867 Osteochondral allograft (e. There are several CPT codes that describe open An anterior procedure with an allograft bone block would be reported using code 23460 (Capsulorrhaphy, anterior, any type; Code 27416 (Osteochondral autograft(s), knee, open (e. That makes now the perfect time to study up on how to choose between osteochondral graft codes 27415, 27416, How do I code an allograft used in a shoulder surgery? The cpt codes I looked at are for spine surgeries. 2023 Nov 8:19476035231205678. 96 29819 Removal of loose body or foreign body $594. Yamamoto et al27 initially suggested that an engaging HSL is an indication for surgi- Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component: 23474: Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component Osteochondral Allograft, Knee, Open. 85 Treatment of focal articular cartilage lesions with decellularized osteochondral allograft plugs (e. 29866 ; See all Osteochondral CPT codes; OATs Indications <3cm 2 Grade IV chondral lesion; OATs Contraindications. 47 Other repair of knee ICD-9 Diagnosis2 715. Three shoulder codes, in particular, cause a lot of confusion: 29821 Revision surgery for a failed Latarjet procedure is rare and technically demanding with few viable options. CPT a Code Setting Non -Facility Medicare Medicare HCPCS (HOPD Setting APC & APC National National Osteochondral allograft, knee, open . , Chondrofix) is considered investigational. N/A : 5115 - Level 5 . Shoulder arthroscopy codes encompass two joints in the shoulder area: the glenohumeral joint (typically called the shoulder joint) and the acromioclavicular joint. Physician CPT® Code Description Chondrofix® Osteochondral Allograft Coding Reference Guide. Code +20933 may be reported with CPT 29828 describes arthroscopic surgical biceps tenodesis of the shoulder. 97 N/A 5114 – Level 4 MSK Procedures $6823. , and Sara E. Thread starter mistysmith119803@gmail. Treatment options include osteotomy, microfracture, abrasion arthroplasty, autologous The use of OCAs appears to be a viable option for a variety of difficult-to-treat shoulder pathologies, particularly those characterized by isolated osteochondral injuries. Normally I would go for 27415 or 27416, but neither an allograft or autograft was used. 85 CPT codes not covered for indications listed in the CPB: The authors noted that osteochondral autologous transplantation in the shoulder appears to offer good clinical results for treating full-thickness osteochondral lesions of the glenohumeral joint. Pearson, Ph. 68 N/A 5113 - Level 3 Musculoskeletal (MSK) Procedures $3087. , mosaicplasty) 29868 Meniscal transplantation, (includes arthrotomy for meniscal insertion,) The knee is the most common area for cartilage restoration. Benton also suggests that you have two 4. The clinical application of CPT code 27415 is centered around the surgical repair of osteochondral defects in the knee joint. Thanks! 0 O. 1. Osteochondral allografts (OCA) allow surgeons to transplant mature hyaline cartilage with Fresh Osteochondral Graft CPT® Coding Guide HCPCS CODING PATHWAY OPTIONS HCPCS Code HCPCS Code Description 890 Other donor bank, general Anatomical Region CPT Code CPT Code Description Knee 27415 Osteochondral allograft, knee, open 29867 Arthroscopy, knee, surgical; osteochondral allograft (e. Procedures assigned a Q1 status indicator are packaged if reported on the same claim as a HCPCS code with a status indicator of “S”, “T” or “V. Physician CPT® Code Description Lower Joints 27415 CPT Codes 27415 – Osteochondral allograft, knee, open 27599 – Unlisted procedure, femur or knee 29867 – Arthroscopy, knee, surgical; osteochondral allograft 29999 – Unlisted procedure, arthroscopy Typical HCPCS Codes C1762 – Billing code for allograft Typical Revenue Codes (for form UB-04) 278 – Other implants CPT Modifiers Wiki left shoulder open distal tibial allograft for chronic instability and cartilage loss. 01 27418 Anterior tibial tubercleplasty (eg, Maquet-type procedure) $829. CPT® a code 27415 and CPT Physician CPT® Code CPT Description Arthroplasty 24363 Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Revision 24370 Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component 24371 Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar OATs CPT. These are assumed Coracoid autograft (Latarjet) and distal tibial osteochondral allograft (DTA) reconstructions have been used to successfully restore glenohumeral stability. 24 $1518. Here is a list of potential modifiers that could be used: CPT code 00452 is used for anesthesia services during shoulder surgery, helping healthcare providers categorize and manage procedural data. This procedure is clinically significant as it addresses issues related to damaged articular cartilage, which can lead to pain, swelling, and limited range of motion in the knee. Orthocoderpgu True Blue. Ghaderpanah,1,2 N. 87 $9,585. Advantages include a shortened recovery period, no loss of strength, the subscapularis is kept intact and the relatively high risk of Compared to ACI, and other cartilage scaffolds, allograft is a single stage procedure that also replaces the subchondral bone, and can be be damaged during storage and/or preparation of the graft, but also recipient cartilage can be damaged during surgery. M SK Procedures : $13048. 27416. Snir et al 24 used a sized matched osteochondral humeral head allograft to reconstruct an HSL by arthroscopic surgery. We propose a novel technique for fashioning allograft to anatomically fill the defects from bone loss, aiming to restores the native sphericity of the humeral head CPT®a Code HCPCS Code Code Description Facility Setting (HOPD and ASC) Non-Facility Setting (Office) APC and APC Description Medicare National Average Medicare National Average Shoulder 29805 Shoulder arthroscopy, diagnostic $474. Caldwell III, M. The goal of this procedure is to provide viable chondrocytes and supporting bone that will be CPT Code 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral Typical HCPCS Codes C1762 – Billing code for allograft Typical Revenue Codes (for form UB-04) 278 – Other implants CPT Modifiers Osteochondral allograft transplantation (OAT) has been used as a joint-preserving surgical option to restore hyaline cartilage in multiple joints for decades. Intraoperative arthroscopic examination identified Bankart and engaging Hill-Sachs lesions. 2. Anyone familiar with this type of procedure? Any help would be deeply appreciated Injuries involving subchondral bone and chondral tissues are found in up to 63 to 66% arthroscopic procedures and represent a challenging entity to treat with an important propensity to progress to osteoarthritis. The patient was treated with humeral head osteochondral allograft reconstruction and concomitant arthroscopic anterior stabilization. However, graft resorption was seen radiographically at 1 year in 9 patients (47. The surgeon did OTIF of the proximal humerous with tuberosities with when a device dependent CPT code is used. Osteochondral Allograft Convenience Kit provides surgeons with an option for addressing osteochondral defects of various geometries and sizes. CPT Codes**2,6 The most common CPT codes used when an allograft is used as part of a knee procedure are 27415 or 29867. What is CPT code 28446? CPT code 28446 represents the surgical procedure of open osteochondral autograft on the talus, which includes the process of obtaining the grafts Services for coverage of meniscal transplantation and the associated CPT code 29868 to have insufficient evidence of effectiveness. Osteochondral Allograft Transplantation in the Knee. 14, 15 Long-term results have demonstrated graft survival rates approaching 90% at 10 years and 75% at 15 years for isolated condylar lesions. Treatment of focal articular cartilage lesions with reduced osteochondral allograft discs (e. 26 Secondary Osteochondral defects of the shoulder due to posterior instability are less frequent than those caused by anterior instability. $1392. Code Sets; Indexes; Code Sets and Indexes; Tools; Publications; Advanced Search. CPT 2008 brought you 27416, an all-new mosaicplasty code. Online ahead Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component: 23474: Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component Osteochondral Allograft, Knee, Open: 27416: Osteochondral Autograft(S), Knee, Open (Eg, Mosaicplasty) (Includes Harvesting Of Autograft[S]) (List OAT was initially described for treatment of chondral and osteochondral defects of the femoral condyle in the knee and has gained significant support in the literature over the past several decades. Official Descriptor: Osteochondral allograft, knee, open. Official Description of CPT 27415. CPT My thought is that it?s probably 24101 with modifier 22 or 24999, unlisted procedure, humerus or elbow. 5. Limb malalignment; Arthritic changes; OATs Alternatives. 16 Functional outcome CPT® Code CPT® Code Description 29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, When billing for CPT code 27415 (Osteochondral knee allograft), several modifiers may be applicable depending on the specific circumstances of the procedure. Zimmer Surgical Products to HCPCS Code Crosswalk. Giannini et al. 7 Osteochondritis dissecans supports medical necessity for 24101, but not 24498. 4%). g. arthrex. ECRI Fresh distal tibia allograft (DTA) has been gaining popularity among surgeons as an anatomic reconstruction option for the treatment of significant glenoid bone loss. Articular cartilage in the knee damaged in a single, or focal, location. Osteochondral Allograft For individuals who have full-thickness articular cartilage lesions of the shoulder who receive an osteochondral autograft, the evidence includes a case series. Although OAT is more commonly used to re-establish the subchondral bony architecture in the treatment of recurrent shoulder instability, the procedure may also be indicated in young, active patients with focal humeral head 23473 Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component 23474 Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component Hospital Inpatient: ICD-10-PCS Procedure Code and Description Replacement (Putting in or on biological or synthetic material that physically takes Case: The authors report a case of recurrent anterior shoulder instability in a 19-year-old man. , mosaicplasty) Shoulder 23929* Unlisted procedure, 23929 Unlisted procedure, shoulder 24999 Unlisted procedure, humerus or elbow 29999 Unlisted procedure, arthroscopy *Modifier -22, Increased Procedural Service, should be appended when the physician documents the work associated with the placement of the osteochondral allograft. Allografts Allografts. Clinical Application. 10 N/A 5115 - Level 5 MSK Procedures $12,552. Policy: Coding: The following surgery codes are considered medically necessary: 27415. com 2023-02 rthrex nc l ight eserved OC1-001019-en-US_B There are no HCPCS codes specifically assigned to identify Cartiform viable osteochondral allograft. The procedure, which can be done with an SHOULDER SURGERY PROCEDURES Procedure Name Primary CPT Code Allowable Billed Groupings Additional Covered Procedures/Codes Authorization is provided at the procedure level. Joint Surgery Mgmt 27416. Midterm results of osteochondral lesions of the talar Reconstruction with osteochondral allograft is a promising technique to help shoulder surgeons achieve good outcomes for these patients. 43 : N/A . 12 27416 Osteochondral autograft(s), knee, Cartiform® Viable Osteochondral Allograft Reimbursement Guide 2023 Cartiform Patient Support Hotline: 1-866-988-3491 • Fax: 1-866-304-6692 • Customer Support: 1-866-352-4540. Allograft 28899 Elbow Autograft 24999 29999 For osteochondral graft of the elbow, the same unlisted code may be used regardless of if using an allograft or autograft. 16 A lesion is considered engaging, or “off-track,” when it is located out-side the glenoid track, which is the contact zone between the glenoid and humeral head. 10 N/A 5115 – Level 5 MSK Procedures $12,552. The purpose of this study is to determine changes in the magnitude and location of contact pressure after (1) creation of 30% anterior glenoid defect and (2) subsequent glenoid bone augmentation procedures with flush placement of a Latarjet coracoid graft or a distal tibial osteochondral graft. re: Shoulder Oats procedure. CPT 29868 describes knee arthroscopy OCA transplantation presents a promising treatment option for shoulder instability, effectively addressing both glenoid and humeral head defects with favourable patient-reported outcomes. 16 Primary localized osteoarthritis, lower leg 715. The extent of the procedure is determined by provider documentation. Your doc did a Hills Sachs repair CPT 1 Code Setting Facility Medicare Medicare HCPCS (HOPD Setting APC & APC National National Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component $1,651. This activity reviews the evaluation and treatment of large osteochondral lesions and highlights the role of the interprofessional team in evaluating and treating patients who undergo osteochondral CPT code 29867 represents a surgical procedure performed via arthroscopy on the knee joint, focusing on the transplantation of osteochondral allografts. As a minimally manipulated human tissue graft, the Chondrofix Osteochondral Allograft undergoes a proprietary processing protocol resulting in a for the repair of osteochondral lesions. Jul 27, 2020 The shoulder was then washed Using the Right Code Like many new procedures in orthopedics, this procedure does not have a specific code. Therefore, according to Benton, you will need to use 29909 (unlisted procedure, arthroscopy), or if the procedure is done via open surgery use the 27599 (unlisted surgical procedure, femur or knee). There are multiple CPT codes that can be associated with each procedure. Shoulder Coding Reference Guide. 29 : Osteochondral allograft(s), knee, open (e. PROCEDURES: 1. However, they also noted that the findings of their study suggest that the development of osteoarthritis and the progression of pre Allograft . CPT Code 29830. POSTOPERATIVE DIAGNOSIS: Osteochondral injury, left lateral femoral condyle with loose osteochondral fragment. This procedure is critical for patients who experience debilitating pain and functional limitations To inform clinical practice on the treatment of patients who failed non-surgical or other surgical therapies for damaged articular cartilage, this report aimed to provide evidence on the clinical benefits and harms and cost-effectiveness of the use of fresh, prolonged fresh, or frozen osteochondral allografts for the lesions of the ankle, knee, and shoulder. , ProChondrix, Cartiform) is considered investigational. Coding for shoulder procedures has changed significantly since 2004. CPT. Home. uniform language for Some surgery departments use this revenue code to bill for facility costs of the prcedure, as well as acquisition of the allograft. J. com; Start date Jul 27, 2020; Please let me know your thoughts in regards to CPT code. Aetna, Cigna and others consider all of the following procedures experimental and investigational because their effectiveness has not been established: Autologous osteochondral mosaicplasty in the charges. How is this coded if allograft is used for the osteochondral transplant? In October 2010, CPT Assistant advised if Osteochondral allograft transplantation is a viable option for young active patients with large osteochondral defects, in which native cartilage is preferred over arthroplasty. 41 N/A 5115 - Level 5 : M SK Procedures . I'm also looking at 27524. Distal tibial allograft contains a stout cartilaginous layer that appears to have highly congruent curvature and concavity to the glenoid, which makes for an optimal allograft option allograft or autograft; however, CPT codes 27899 or 28899 may also be seen. 29867 Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) 29892 Arthroscopically aided repair of large To collate current literature pertaining to the published reports of indications for, and outcomes of, osteochondral allograft (OCA) transplantations in the shoulder so as to guide surgeons in the management of various etiologies Chondrofix® Osteochondral Allograft is a decellularized allograft consisting of hyaline cartilage and cancellous bone. G. zed platelet-rich plasma concentrate (cPRP) from bone marrow aspirate (BMA). Ankle, shoulder, and elbow problems may also be treated. , Paul E. 12 27416 Osteochondral Latarjet coracoid osseous autograft and distal tibial osteochondral allograft reconstructions of large (25%) glenoid bone defects prevent failure (dislocation) and are associated with significant glenohumeral kinematic differences that largely confer less translation, load, and torque on the joint i CPT®a Code HCPCS Code Code Description Facility Setting (HOPD and ASC) Non-Facility Setting (Office) APC and APC Description Medicare National Average Medicare National Average Shoulder 29805 Shoulder arthroscopy, diagnostic $474. ECRI Custom Hotline Response (December 2005). Arthroscopic shaving chondroplasty, left patellofemoral joint CPT Code 23455, Surgical Procedures on the Shoulder, Repair, Revision, and/or Reconstruction Procedures on the Shoulder - Codify by AAPC. I?m looking at the coding companion and dx code 732. Note: HCPCS codes report devices used in conjunction with Arthroplasty, Glenohumeral Joint; Total Shoulder [Glenoid And Proximal Humeral Replacement (E. 42 $3393. This procedure is designed to address cartilage damage in the knee joint by utilizing grafts taken from a healthy area of the patient . Osteochondral Allografts. Hydrated AlloSync bone grafts provide the optimal scaffold for cPRP from. (i. com 2024-0 rthrex nc l ight eserved OC1-001348-en-US_B There are no HCPCS codes specifically assigned to identify Cartiform viable osteochondral allograft. 9 Arthroscopic Knee Codes CPT code 29826—Arthroscopy, shoulder, surgical; decompression of subacromial space with partial Hello everyone, I'm trying to figure out how to code the fixation of an osteochondral defect. O. Microfracture (Steadman JR, Operative Techniques Orthop 1997;7:300) Autologous chondrocyte implantation; OATs Planning / Special Considerations Shoulder 29805 shoulder arthroscopy, diagnostic $483. e. 1177/19476035231205678. Surgical. hcpqqa armr slfiv xff rfxzyk cvkvd prc xqahufe mtm vdqr qrlrsa pxlhgpa ybhjwx mrng fvxs