AHA Coding Clinic® for ICD-9 - 1994 Fifth Issue; Q & A

Rewiring for unstable sternum

What are the appropriate procedure codes for sternal debridement, removal of sternal wires, and rewiring for unstable sternum status post sternotomy for coronary artery bypass graft? We considered assigning code 34.79, Other repair of chest wall, but we do not feel this is appropriate. However, a previously published Q&A in Coding Clinic, January-February 1987 p. 13, advised this for secondary closure of the sternum. Also, we do not feel code 78.51, Internal fixation of bone without reduction, (sternum) is appropriate, since Coding Clinic, First Quarter 1993, p. 19, stated, "sternal wires are not considered internal fixation devices." Please clarify. ...

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