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HELP! Autograft & Recipient site prep

The provider is taking an autograft from the left proximal tibia & placing it into a left distal tibial bone defect. He’s trying to code for the harvesting of the graft 20902 & the preparation of the recipient site with a debridement code. What codes should be used? An unlisted code?

Medical Billing and Coding Forum

Autograft Question – CPT 28305

In regards to CPT 28305, my provider wants to know if the autograft can be locally harvested or does he have to make a separate incision distant from the area for the autograft to count?

The Coder’s Desk Reference states, "Report 28305 when a bone graft is necessary. For this procedure, the physician debrides the intended graft recipient site of the tarsal and a bone graft from the iliac crest or other site is shaped and placed between the prepared surfaces."

So am I correct in thinking that based on the Coder’s Desk Reference that the autograft can’t be locally harvested and has to be harvested from a different area?

Thanks in advance.

Medical Billing and Coding Forum

pterygium with conjunctival autograft codes

Hello everyone,

I work in an ASC and I have a coding question on Pterygium. Below is the procedure performed.
OPERATION: The patient was brought to the operating room in good condition. After undergoing peribulbar block by the anesthesist the right eye was prepped and draped in the usual sterile fashion, a lid speculum was placed. Inspection of the cornea demonstrated nasal scarring, which was released using 0.12 mm forceps and Vannas scissors. Next, the pterygium was completely excised along with excess Tenon’s tissue and release symblepharon formation nasally. The resulting defect was then cauterized to achieve good hemostasis.

Finally, a thin area of conjunctival tissue was harvested superiorly and glued over bare sclera. Routine postoperative drops and ointment were placed in the eye. The eye patch and covered with fox shield.

what would be the codes for the above procedure and modifiers, if any? Please help.

Medical Billing and Coding Forum