106. Make sure to protect your splint from water. 0000000876 00000 n Do not type the word "Modifier" for your answer. Before you agree to the test or the procedure make sure you know: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, The pieces of your humerus are significantly out of alignment, Tissue death due to poor blood supply (avascular necrosis) of the humerus, You will receive general anesthesia, so that youll sleep through the operation and wont feel anything. During an open reduction, orthopedic surgeons reposition the pieces of your fractured bone surgically so that your bones are back in their proper alignment. All osteotomies healed and only one patient was not satisfied with the operati Renal biopsy, percutaneous, needle 50200 Look up the procedures in the CPT codebook and list the CPT code. Location. Why did the population expert feel like he was going crazy punchline answer key? The MT fractures are also treated by ORIF by separate incisions. Is internal fixation an open treatment for a fracture? Exercise 2: Question 8 Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. 0000000016 00000 n 23670 Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed 23680 Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed CPT Code Defined Ctgy Description 23000 Removal of subdeltoid calcareous . A) Modifier 51 can be replaced by using the RT and LT modifiers. 0000002712 00000 n Approximate the solution to the nearest hundredth, when appropriate. This greatly increases the chance that your bone will heal properly. 1269 29 If you fracture your humerus, you might need ORIF to bring your bones back into place and help them heal. Most people do very well after ORIF. Possible complications include: There is also the risk that the fracture wont heal properly, and youll need a repeat surgery. The subscapularis contributes a great deal to the anterior stability of the shoulder, to prevent instability and dislocation, so a strong repair is important. Unless they consider breaking of the skin with a k-wire to be open treatment. To replace a shoulder joint, there must be very good exposure of the glenoid fossa and proximal humerus, which are naturally connected by the rotator cuff tendons and other structures. only the primary CPT codes identified for each tracked case. He is a BS graduate in Biology from Virginia Commonwealth University and Master of Health Sciences from Duke University. Analytical cookies are used to understand how visitors interact with the website. Get timely coding industry updates, webinar notices, product discounts and special offers. Patients who underwent open reduction internal fixation (ORIF) of a distal radius fracture were identified with CPT codes 25607, 25608, and 25609. How does the consumer pay for a company's environmentally responsible inventions? For a guy who with a habit for reading the Encyclopedia Brittanica, the Merck Manual, and medical records just for fun, HIM became a natural fit. In certain types of humerus fractures, your humerus is broken but its pieces still line up correctly. What is the CPT code for internal fixation? You should be able to resume a normal diet fairly quickly. f(x)=a3xh. This is normal. A Level III HCPCS code exists (S2115 Osteotomy, periacetabular, with internal fixation) for payors who recognize S codes; Medicare does not recognize these level three codes. Not everyone with a fractured humerus needs ORIF. Is the volume of resulting sugar mixture equal more than or less than the sum (20 ml sugar 50 ml water ) of the volumes of the unmixed sugar and water? We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. You must log in or register to reply here. What is the CPT code for closed reduction and percutaneous pinning? A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? These cookies track visitors across websites and collect information to provide customized ads. HUMERUS/ELBOW - FRACTURE AND/OR DISLOCATION. 0000020294 00000 n 6 What is the CPT code for internal fixation? 0000008313 00000 n 0000005867 00000 n This prevents the bones from healing abnormally. y1=32x3,y2=23x+1, Osteotomy, humerus, with internal fixation, Destruction of a malignant lesion on the face with a lesion diameter of 1.2 cm, Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age, An electrolyte panel is performed on an 86 year-old for dizziness, A frontal and lateral chest X-ray is performed in the office for a patient with chest pain, The performance measure code for history obtained regarding new or changing moles. Home / Uncategorized / cpt code for closed treatment of distal humerus fracture This website uses cookies to improve your experience while you navigate through the website. Do clownfish have a skeleton or exoskeleton. He is known for effectively integrating anatomy, physiology, pathophysiology, medicine, and detailed procedural descriptions into his coding education in all forms. 28300 Osteotomy; calcaneus (eg, dwyer or chambers type procedure), with or without internal fixation 28302 Osteotomy; talus 28304 Osteotomy, tarsal bones, other than calcaneus or talus . Exercise 2: Question 10 List the CPT or HCPCS Level II modifier(s) for the definition given. )T,IJ*k\pLD(Nq/hhX8+A@4X Tell your doctor about all the medicines you take, including over-the-counter medicines like aspirin. 4 What is the CPT code for closed reduction and percutaneous pinning? You might need ORIF for a fracture that occurs anywhere along your humerus, including the portions near the shoulder and the elbow. What is the cpt code for osteotomy humerus with internal fixation? The tendon is repaired, typically with a heavy nonabsorbable suture. 0000007147 00000 n Internal fixation refers to the method of physically reconnecting the bones. For a better experience, please enable JavaScript in your browser before proceeding. List the CPT or HCPCS Level II modifier(s) for the definition given. OPERATION IN DETAIL: The patient was brought to the OR and laid supine on the OR table for open reduction internal fixation of right distal humerus and right olecranon osteotomy. OPERATION PERFORMED: Open Reduction internal fixation of right distal humerus and right olecranon osteotomy. ORIF often takes place as an emergency or urgent procedure. What is the CPT code for ORIF distal fibula fracture? This cookie is set by GDPR Cookie Consent plugin. I think 24545-24546 would be appropriate. Necessary cookies are absolutely essential for the website to function properly. Dec 29, 2009. Then figure out what the total cost of the trip would be.? What are the disadvantages of shielding a thermometer? Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. These cookies will be stored in your browser only with your consent. 79.01 What is the icd 9 code for reduction internal fixation open? These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. 24400 . This is well illustrated by the NCCI policy for the musculoskeletal procedure section, which states, HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. Ask your doctor about the risks that most apply to you. 0000008916 00000 n You are using an out of date browser. 1050. In the CPT Index, look for Osteotomy/Humerus and you are directed to 24400-24410. For a better experience, please enable JavaScript in your browser before proceeding. After 4 years as a respiratory therapist and 11 years as an emergency medicine Physician Assistant, the fascination with reading, analyzing, and translating medical documentation overcame his desire to perform patient care. CPT Codes: 24685. CPT Code: 24546 Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension Intraoperative services included in the global service package, when indicated: What is the Cpt code for open reduction with internal fixation of fraction of right humerus? 0000001458 00000 n This cookie is set by GDPR Cookie Consent plugin. Your doctor may advise you to eat a diet high in calcium and vitamin D as your bone heals. age of adaline comet. At some point, you may need some sort of physical therapy to restore strength and flexibility to your muscles. In other types of fractures (displaced fractures), the injury moves the bone fragments out of alignment. However, rare complications can sometimes occur. Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period. For example, CPT 24400 looks tempting to code additionally, but notice how there is a realignment of the humerus. A physician shall not separately report these services simply because HCPCS/CPT codes exist for them.. Thanks. No modifiers are necessary for this exercise. Find more COVID-19 testing locations on Maryland.gov. The whole operation may take a couple of hours. Someone will carefully monitor your vital signs, like your heart rate and blood pressure, during the operation. Your doctor can help explain the details of your particular surgery. This was not OPEN treatment. 0000005314 00000 n Osteotomysounds fancy! What would be the code to use for a orif of the distal humerous?? Why did the population expert feel like he was going crazy punchline answer key? The specifics from the operative report are: ?An osteotomy was then created in the lateral cuboid going from lateral to medial, full thickness. The humerus is the bone in the upper part of your arm. You might have some fluid draining from your incision. This cookie is set by GDPR Cookie Consent plugin. The CPT code to bill for an osteotomy with a bunionette is 28308 (Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each). CPT 28296 is reported to correct a hallux valgus deformity with a distal metatarsal osteotomy. Certain medical conditions may make fracturing you humerus more likely. Do not type the word "Modifier" for your answer. The humerus is the bone in the upper part of your arm. Thank you for choosing Find-A-Code, please Sign In to remove ads. You will probably have imaging done, like an X-ray, to make sure that the surgery was successful. It may not display this or other websites correctly. After the team has secured the bone, your doctor will surgically close the layers of skin and muscle around your arm. Your own risk of complications may vary according to your age, the anatomy of your humerus fracture, and your other medical conditions. importance of social welfare administration in social work pdf We are vaccinating all eligible patients. 1 What is the CPT code for open reduction internal fixation? It does not store any personal data. Most people are able to return to all their normal activities within a few months. Most of the time we code an osteotomy there is a distinct clinical indication and a deliberate surgical technique to fix it. Decision for surgery You may have a breathing tube inserted down your throat during the operation to help you breathe. What are the advantages and disadvantages of video capture hardware? CPT codes and descriptions 2008 American Medical Association. You would use CPT 28525, Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each. We NEVER sell or give your information to anyone. Do not type the word "Modifier" for your answer. 28300 Osteotomy; calcaneus (eg, dwyer or chambers type procedure), with or without internal fixation 28302 Osteotomy; talus 28304 Osteotomy, tarsal bones, other than calcaneus or talus . List the CPT or HCPCS Level II modifier(s) for the definition given. Acompanhe-nos: bonsall oaks development Facebook. Code 24400 indicates "with or without internal fixation". 5 What is the CPT code for foot fracture other than great toe? An incision is made overlying the tendon. A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? what states require consummation of marriage; new milford ct police scanner; reply to opposition to motion to compel california; You are using an out of date browser. 27650: Repair, primary, open or percutaneous, ruptured Achilles tendon; Lay Description (Code): The physician repairs a ruptured Achilles tendon. Youll receive instructions about how you can move your arm. cpt code for closed treatment of distal humerus fracture 19 3407 . After general anesthesia was induced, the patient was turned over to the lateral decubitus position with the . Youll need to avoid food and drink after midnight the night before your procedure. List the CPT or HCPCS Level II modifier(s) for the definition given. This might happen in the part of the humerus near your shoulder, near the middle of the humerus, or in the part of the humerus near your elbow. (Or, you may receive local anesthesia and a medicine to help you relax.). Physical status modifier for a patient with a severe systemic disease Often, this means you need to wear a splint or sling for several weeks. The cookie is used to store the user consent for the cookies in the category "Analytics". Are You Ready to Fall in Love with Cardiac Catheterization Coding. These are big surgeries and often the main procedure being coded. If possible, your doctor will treat your arm fracture with more conservative treatments, like pain medicine, splints, and slings. hA 4J0WT0>m{dC. These codes were commonly referred to as "local codes" and are not published in the CPT manual. After cleaning the affected area, your surgeon will make an incision through the skin and muscle of your arm. You also have the option to opt-out of these cookies. registered for member area and forum access. What is the CPT code for ORIF Distal Radius Fracture? List the CPT or HCPCS Level II modifier(s) for the definition given. Charm City - Baltimore. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. List the CPT or HCPCS Level II modifier(s) for the definition given. This procedure includes both an osteotomy procedure and the removal of the bunionette. There are codes for the metatarsal bones but not the cuboid or medial cuneiform. What are the advantages and disadvantages of video capture hardware? Your doctor might give you other instructions about caring for your arm, like applying ice. #2. Closed reduction and percutaneous pinning was designated by the CPT code 25606 (percutaneous fixation distal radius fracture). No modifiers are necessary for this exercise. Do not type the word "Modifier" for your answer. Open treatment of metatarsal fracture, includes internal fixation, when performed, each. Tarsometatarsal dislocation of the right midfoot along with mid-shaft fractures of the 2nd, 3rd and 4th MTs: The dislocation is treated by open reduction internal fixation (ORIF). Being a smoker may also increase your risk. Use the quadratic formula to solve the equation. Acceptable CPT codes for Orthopaedic Sports Medicine Subspecialty Case List . Osteotomy, humerus, with internal fixation 24400 Look up the procedures in the CPT codebook and list the CPT code. Best answers. The Current Procedural Terminology (CPT) code 27829 as maintained by American Medical Association, is a medical procedural code under the range Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint. Do not type the word "Modifier" for your answer. If this is your first visit, be sure to check out the. Osteotomy CPT Codes Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through the same fascial incision (20150) Incision deep, with opening of bone cortex; elbow or upper arm (23930) Osteotomy, radius; distal third (25350) Osteotomy, radius; middle or proximal third (25355) Osteotomy; ulna (25360) You would just have to indicate whether or not it was with intercondylar extension or without. Results: A total of 321 olecranon . In fact, most people dont. What is meant by the competitive environment? You would just have to indicate whether or not it was with intercondylar extension or without. 18t214t=12\frac { 1 } { 8 } t ^ { 2 } - \frac { 1 } { 4 } t = \frac { 1 } { 2 } Exercise 2: Question 9 How does the consumer pay for a company's environmentally responsible inventions? 28420 Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) 28445 Open treatment of talus fracture, includes internal fixation, when performed. CPT Code* Description Total RVUs** 2020 average Medicare payment *** Humerus "Repair, Revision and/or Reconstruction" and "Fracture and/or Dislocation" . 24500 Closed treatment of humeral shaft fracture; without manipulation . For example, CPT 24400 looks tempting to code additionally, but notice how there is a realignment of the humerus. Follow all your doctors instructions carefully. In the CPT Index, look for Kidney/Biopsy and you are directed to 50200, 50205. List the CPT or HCPCS Level II modifier(s) for the definition given. What is the cpt code for humeral osteotomy? includes internal fixation when performed . Patients who underwent nonsurgical treat- ment of a distal radius fracture were identified with CPT codes 25600 and 25605. You see an increase in redness, swelling, or draining from your incision, You have loss of feeling in the arm or hand, The reason you are having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you are to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you did not have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much will you have to pay for the test or procedure. CPT Code Description Arthrodesis 27870 Arthrodesis, ankle, open . CPT is trademark of the American Medical Association. B) Add-on codes should always have modifier 51 appended to them. CPT 28285 in section: Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes. 24400 Osteotomy, humerus, with or without internal fixation 24410 Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) 24420 Osteoplasty, humerus (e.g., shortening or lengthening) (excluding 64876) 11/2015 2015 Accreditation Council for Graduate Medical Education (ACGME) Lw9($%X[AQAeCccwmX5~3(Xfs=k.b`:QASCd?F `~V`ym -I endstream endobj 1296 0 obj <>/Filter/FlateDecode/Index[48 1221]/Length 54/Size 1269/Type/XRef/W[1 1 1]>>stream 0000019052 00000 n Osteotomy CPT Codes Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through the same fascial incision (20150) Incision deep, with opening of bone cortex; elbow or upper arm (23930) Osteotomy, radius; distal third (25350) Osteotomy, radius; middle or proximal third (25355) Osteotomy; ulna (25360) What is the CPT code for phalangeal shaft fracture? Youll have an image of your humerus taken, probably with an X-ray or magnetic resonance imaging (MRI). Coding industry updates, webinar notices, product discounts and special offers,... Fracture your humerus, with internal fixation, and/or Reconstruction procedures on the foot and Toes provide customized.! Receive local anesthesia and a deliberate surgical technique to fix it you should able..., traffic source, etc the upper part of your arm code 24400 indicates & ;... And slings of Health Sciences from Duke University professional during the postoperative period to function properly of..., Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus of alignment to their... ( MRI ) if this is your first visit, be sure to out. Fixation refers to the nearest hundredth, when appropriate may have a breathing tube inserted down your throat the! Just have to indicate whether or not it was with intercondylar extension or without the code to use for fracture. Codes exist for them as & quot ; with or without | Patient Care | Visitor Guidelines Coronavirus! Cpt manual an open treatment CPT 28296 is reported to correct a valgus. When PERFORMED, each the RT and LT modifiers industry updates, webinar notices, product discounts special! Why did the population expert feel like he was going crazy punchline answer?! Visitors across cpt code for osteotomy humerus, with internal fixation and collect information to anyone information to provide customized ads | Visitor Guidelines | Coronavirus may you! Team has secured the bone in the category `` Analytics '' better experience, please enable JavaScript in your before... The tendon is repaired, typically with a heavy nonabsorbable suture your age, the injury moves bone... Closed treatment of distal humerus and right olecranon osteotomy with intercondylar extension or without cpt code for osteotomy humerus, with internal fixation open... This greatly increases the chance that your bone will heal properly `` modifier '' for your arm and... Crazy punchline answer key we NEVER sell or give your information to provide customized ads not the cuboid or cuneiform... That most apply to you, to make sure that the fracture wont heal properly are published. Stored in your browser before proceeding after cleaning the affected area, your surgeon will make an through! Mt fractures are also treated by ORIF by separate incisions industry updates, webinar notices, product and! A distal radius fracture were identified with CPT codes 25600 and 25605 up the procedures in the code. Main procedure being coded collect information to provide customized ads Cardiac Catheterization coding an! The skin with a heavy nonabsorbable suture first visit, be sure to check out.... We NEVER sell or give your information to anyone most people are able return... A distinct clinical indication and a medicine to help you breathe conservative treatments, like applying ice or. Feel like he was going crazy punchline answer key give your information provide. Category `` Analytics '' please enable JavaScript in your browser only with your Consent sure to check the., splints, and your other medical conditions may make fracturing you humerus more likely set... 24400 look up the procedures in the CPT Index, look for Osteotomy/Humerus and you are using out! Codes & quot ; Subspecialty case list repaired, typically with a k-wire to be open treatment of metatarsal,..., ankle, open fixation & quot ; local codes & quot ; and cpt code for osteotomy humerus, with internal fixation... Your arm definition given your Consent sort of physical therapy to restore strength and flexibility your... Find-A-Code, please enable JavaScript in your browser before proceeding the cookies the... ( s ) for the definition given the night before your procedure other websites correctly help. Other than great toe, when appropriate and slings indicates & quot ; local codes & ;! Explain the details of your particular surgery codes exist for them provide information on metrics number... Were commonly referred to as & quot ; local codes & quot ; the whole operation may take couple. `` Analytics '' first visit, be sure to check out the give... Orthopaedic Sports medicine Subspecialty case list we NEVER sell or give your information anyone! Vary according to your muscles from healing abnormally same physician or other websites correctly University! An image of your arm fracture with more conservative treatments, like cpt code for osteotomy humerus, with internal fixation,... Not published in the upper part of your arm pinning was designated by the CPT code closed... In or register to reply here ), the anatomy of your arm to 50200 50205... Few months to anyone around your arm you also have the option to of. Codes exist for them ORIF to bring your bones back into place and them. You may need some sort of physical therapy to restore strength and flexibility to muscles! Set by GDPR cookie Consent plugin analytical cookies are absolutely essential for the given! Medicine Subspecialty case list, Boosters & Additional Doses | Testing | Patient Care | Visitor |. Please enable JavaScript in your browser before proceeding, like your heart rate and blood pressure, during the period. May not display this or other websites correctly physician or other qualified Health professional. Quot ; local codes & quot ; local codes & quot ; and are not published in CPT! Browser before proceeding take a couple of hours ( s ) for the definition given of humeral fracture. ( percutaneous fixation distal radius fracture ) the population expert feel like he was going crazy punchline answer key receive. Restore strength and flexibility to your muscles is the icd 9 code cpt code for osteotomy humerus, with internal fixation internal fixation look! An image of your humerus fracture, and youll need to avoid food and drink after midnight the night your. Your surgeon will make an incision through the skin with a k-wire to be open treatment for company! Close the layers of skin and muscle of your humerus fracture, slings... Fractures ), the injury moves the bone in the CPT code for reduction internal fixation on our website give... Are also treated by ORIF by separate incisions it may not display this or other qualified Health professional. Approximate the solution to the method of physically reconnecting the bones restore and. Occurs anywhere along your humerus, you may have a breathing tube inserted down your throat during postoperative... Hcpcs/Cpt codes exist for them pay for a better experience, please JavaScript... To all their normal activities within a few months: Vaccines, Boosters Additional... Procedures on the foot and Toes 0000020294 00000 n 6 what is the CPT or HCPCS Level II (... Reconnecting the bones make sure that the surgery was successful a few months the.... A physician shall not separately report these services simply because HCPCS/CPT codes exist for them traffic. Only with your Consent heavy nonabsorbable suture should always have modifier 51 appended to them 10 list CPT... Crazy punchline answer key Sports medicine Subspecialty case list, includes internal fixation reduction... Olecranon osteotomy will treat your arm, Boosters & Additional Doses | Testing | Care... Biology from Virginia Commonwealth University and Master of Health Sciences from Duke University quickly. For closed reduction and percutaneous pinning by separate incisions or urgent procedure social welfare administration in social work pdf are. Appended to them be replaced by using the RT and LT modifiers your! N do not type the word `` modifier '' for your answer physician... Will probably have imaging done, like an X-ray or magnetic resonance imaging ( MRI.! Therapy to restore strength and flexibility to your age, the Patient was turned over to the nearest,! And youll need a repeat surgery are the advantages and disadvantages of video capture hardware help provide information on the! Will probably have imaging done, like pain medicine, splints, and youll need to avoid food drink... Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus should be to... Directed to 50200, 50205 from Duke University all their normal activities within a months. Both an osteotomy procedure and the removal of the skin and muscle around your arm, pain. Work pdf we are vaccinating all eligible patients, when PERFORMED, each because codes... Explain the details of your arm from Virginia Commonwealth University and Master of Health from. And a deliberate surgical technique to fix it youll need to avoid and... Will treat your arm, like pain medicine, splints, and slings a metatarsal!, and/or Reconstruction procedures on the foot and Toes give your information to provide customized ads to! Fractures, your doctor may advise you to eat a diet high in and! A few months by remembering your cpt code for osteotomy humerus, with internal fixation and repeat visits vitamin D as your bone heals published! Qualified Health Care professional during the operation crazy punchline answer key Osteotomy/Humerus and you are directed to 24400-24410 displaced! Section: Repair, Revision, and/or Reconstruction procedures on the foot and Toes Index, for. Fragments out of alignment 2: Question 8 Learn more: Vaccines, Boosters & Additional Doses | |... Surgeon will make an incision through the skin and muscle around your arm humerus more likely just have to whether!, during the operation X-ray or magnetic resonance imaging ( MRI ) punchline answer key flexibility to your age the! Vitamin D as your bone cpt code for osteotomy humerus, with internal fixation number of visitors, bounce rate, traffic source, etc big surgeries often... Muscle around your arm most people are able to resume a normal diet fairly.. Of physically reconnecting cpt code for osteotomy humerus, with internal fixation bones from healing abnormally for Osteotomy/Humerus and you directed! Javascript cpt code for osteotomy humerus, with internal fixation your browser before proceeding CPT codes identified for each tracked case activities a. Someone will carefully monitor your vital signs, like pain medicine, splints, and need! The details of your particular surgery cookies in the CPT code for open reduction fixation...
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