Good morning! I would like some input on the above procedure-I’m leaning towards 27487-52. The doc also performed patellar autologous bone grafting-the code he selected is 27416 however what is throwing me is he states "I felt we did have the opportunity, given her young age, to use her cancellous autologous bone from our bone cuts to try and bone graft her patella to restore bone stock, if for no other reason to protect her extensor mechanism and hopefully allow for future or down-the-line patellar resurfacing as needed" so I do not feel this is separately billable. Thoughts?

Thank you! Michelle B