This info listed to assist Dr. W. with coding procedures.
Humerus (Upper Arm) and Elbow (23930-24999)
Elbow area includes head and neck of radius and olecranon process.
Incision (23930-24006)
(For incision and drainage procedures, superficial, see 10040 10060 10061 10080 10081 10120 10121 10140 -10160)
23930 Incision and drainage, upper arm or elbow area; deep abscess or hematoma
23931 Incision and drainage, upper arm or elbow area; bursa
23935 Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow
24000 Arthrotomy, elbow, including exploration, drainage, or removal of foreign body
24006 Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)
Excision (24065-24155)
24065 Biopsy, soft tissue of upper arm or elbow area; superficial
24066 Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)
(For needle biopsy of soft tissue, use 20206)
24075 Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous
24076 Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)
24077 Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area
24100 Arthrotomy, elbow; with synovial biopsy only
24101 Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body
24102 Arthrotomy, elbow; with synovectomy
24105 Excision, olecranon bursa
24110 Excision or curettage of bone cyst or benign tumor, humerus;
24115 Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)
24116 Excision or curettage of bone cyst or benign tumor, humerus; with allograft
24120 Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process;
24125 Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft)
24126 Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft
24130 Excision, radial head
(For replacement with implant, see 24366)
24134 Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus
24136 Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck
24138 Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process
24140 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus
24145 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck
24147 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process
24149 Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)
(For capsular and soft tissue release only, use 24006)
24150 Radical resection for tumor, shaft or distal humerus;
24151Radical resection for tumor, shaft or distal humerus; with autograft (includes obtaining graft)
24152 Radical resection for tumor, radial head or neck;
24153Radical resection for tumor, radial head or neck; with autograft (includes obtaining graft)
24155 Resection of elbow joint (arthrectomy)
Introduction or Removal (24160-24220)
(For K-wire or pin insertion or removal, see 20650, 20670, 20680)
(For arthrocentesis or needling of bursa or joint, use 20605)
24160 Implant removal; elbow joint
24164Implant removal; radial head
24200 Removal of foreign body, upper arm or elbow area; subcutaneous
24201Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)
24220 Injection procedure for elbow arthrography
(For radiological supervision and interpretation, use 73085. Do not report 76003 in addition to 73085)
(For injection of tennis elbow, see 20550)
Repair, Revision and/or Reconstruction (24300-24498)
24300 Manipulation, elbow, under anesthesia
(For application of external fixation, see 20690 or 20692)
24301 Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)
24305 Tendon lengthening, upper arm or elbow, each tendon
24310 Tenotomy, open, elbow to shoulder, each tendon
24320 Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)
24330 Flexor-plasty, elbow (eg, Steindler type advancement);
24331 Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement
24332 Tenolysis, triceps
24340 Tenodesis of biceps tendon at elbow (separate procedure)
24341 Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
24342 Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
24343 Repair lateral collateral ligament, elbow, with local tissue
24344 Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)
24345 Repair medial collateral ligament, elbow, with local tissue
24346 Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)
24350 Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis);
24351 Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis); with extensor origin detachment
24352 Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis); with annular ligament resection
24354 Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis); with partial ostectomy
24357 Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer’s elbow), percutaneous
24358 debridement, soft tissue and/or bone
24359 debridement, soft tissue and/or bone, open with tendon repair or reattachment
24360 Arthroplasty, elbow; with membrane (eg, fascial)
24361Arthroplasty, elbow; with distal humeral prosthetic replacement
24362 Arthroplasty, elbow; with implant and fascia lata ligament reconstruction
24363 Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)
24365 Arthroplasty, radial head;
24366 Arthroplasty, radial head; with implant
24400 Osteotomy, humerus, with or without internal fixation
24410 Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)
24420 Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)
24430 Repair of nonunion or malunion, humerus; without graft (eg, compression technique)
24435 Proximal radius and/or ulna, see 25400 25405 25415 -25420)
24470 Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)
24495 Decompression fasciotomy, forearm, with brachial artery exploration
24498 Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft
Fracture and/or Dislocation (24500-24685)
24500 Closed treatment of humeral shaft fracture; without manipulation
24505 Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction
24515 Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
24516 Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws
24530 Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation
24535 Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction
24538 Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension
24545 Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external fixation; without intercondylar extension
24546 Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external fixation; with intercondylar extension
24560 Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation
24565 Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation
24566 Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation
24575 Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation
24576 Closed treatment of humeral condylar fracture, medial or lateral; without manipulation
24577 Closed treatment of humeral condylar fracture, medial or lateral; with manipulation
24579 Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation
24582 Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation
24586 Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius);
24587 Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty
(See also 24361)
24600 Treatment of closed elbow dislocation; without anesthesia
24605Treatment of closed elbow dislocation; requiring anesthesia
24615 Open treatment of acute or chronic elbow dislocation
24620 Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation
24635 Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with or without internal or external fixation
24640 Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation
24650 Closed treatment of radial head or neck fracture; without manipulation
24655 Closed treatment of radial head or neck fracture; with manipulation
24665 Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;
24666 Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision; with radial head prosthetic replacement
24670 Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation
24675 Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation
24685 Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation
Arthrodesis (24800-24802)
24800 Arthrodesis, elbow joint; local
24802 Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)
Amputation (24900-24940)
24900 Amputation, arm through humerus; with primary closure
24920 Amputation, arm through humerus; open, circular (guillotine)
24925 Amputation, arm through humerus; secondary closure or scar revision
24930 Amputation, arm through humerus; re-amputation
24931 Amputation, arm through humerus; with implant
24935 Stump elongation, upper extremity
24940 Cineplasty, upper extremity, complete procedure
Other Procedures (24999-24999)
24999 Unlisted procedure, humerus or elbow
