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2025 CPT code 24420

Osteoplasty of the humerus (shortening or lengthening), excluding 64876.

Adhere to the most current CPT coding guidelines, specifically those related to surgical procedures on the musculoskeletal system.Proper documentation is essential for correct coding.

Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier 51 (multiple procedures) could be used if additional procedures are performed during the same surgical session.Consult the most recent CPT guidelines for details on modifier usage.

Medical necessity for this procedure would be established based on the patient's clinical presentation, including symptomatic limb length discrepancy, functional impairment, and the lack of response to conservative treatment options. Appropriate documentation supporting the diagnosis and need for the procedure should be included.

The orthopedic surgeon is responsible for performing the osteoplasty, including incision, bone resection or lengthening, fixation with plates and screws, wound closure, and post-operative care.Anesthesiology services may be provided by a separate provider.

IMPORTANT Code 64876 should be used if the humerus is shortened as part of a nerve shortening procedure.

In simple words: The doctor performs surgery on the humerus (upper arm bone) to make it either shorter or longer. This involves cutting the bone, reshaping it, and then using plates and screws to hold it in the corrected position.

This procedure involves surgical repair or alteration of the humerus bone to correct its length.The surgeon makes an incision over the humeral shaft, carefully retracting nerves and blood vessels. A wedge-shaped section of bone is then removed (shortening) or the bone is osteotomized and the segments separated (lengthening).The bone ends are then fixed with plates and screws. The surgical site is irrigated and closed, with a drain placed if necessary.This code excludes code 64876 (which is used when shortening the bone is done in conjunction with a nerve shortening procedure).

Example 1: A patient with a humeral fracture that has healed with significant shortening requires lengthening osteotomy to restore limb length., A patient with a congenital humeral deformity causing limb length discrepancy undergoes humeral shortening osteoplasty to achieve limb length equalization., A patient with a pathological fracture of the humerus requires stabilization with an osteoplasty procedure for bone lengthening after removal of a tumor.

* Preoperative and postoperative clinical notes with appropriate diagnostic imaging (X-rays, CT scans)* Operative report detailing surgical technique, hardware used, and blood loss* Anesthesia record* Pathology report (if applicable)* Discharge summary

** Always verify code usage with the payer's specific guidelines and local coverage determination (LCD) to ensure accurate reimbursement.

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