AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Open Reduction with Internal Fixation and Placement of Strut Allograft

A patient who is status post left total knee arthroplasty suffered a periprosthetic comminuted fracture of the left distal femoral shaft and had open reduction and internal fixation (ORIF) of the fracture using plates and screws, and placement of strut allograft and cerclage cables. After the incision was made, the proximal and distal fragments were aligned and a cerclage cable was placed to hold the bones in an apposed position. Next, the plate was fixed to the bone with cortical screws; the strut allograft was centered over the proximal stem and held in place with cables. What are the appropriate code assignments for this procedure? ...

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