tci Medicare Compliance & Reimbursement - 2011 Issue 5

Reader Questions: Differentiate Between Graft Types

Question: What's the difference between a spinal allograft and an autograft?Answer: If the surgeon harvests bone from the patient's own body, you'll code for an autograft with one of the following codes: +20936 -- Autograft for spine surgery only (includes harvesting the graft); local (e.g., ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure) +20937 -- ... morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) +20938 -- ... structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in...

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