2025 CPT code 24435
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Treatment Musculoskeletal System Feed
Repair of humerus nonunion or malunion with iliac or other autograft (includes obtaining graft).
Modifiers may be applicable depending on the specific circumstances of the case (e.g., modifier 51 for multiple procedures, modifier 76 for a repeat procedure). Refer to CPT guidelines for appropriate modifier use.
Medical necessity is established by the presence of a clinically significant nonunion or malunion of the humerus that causes pain, functional impairment, or instability, and which cannot be adequately addressed with conservative management.
The orthopedic surgeon is responsible for all aspects of the procedure, including pre-operative planning, surgical intervention (incision, bone excision, graft harvesting and placement, alignment confirmation), post-operative care instructions, and follow-up.
- Musculoskeletal System
- Musculoskeletal System > Surgical Procedures on the Musculoskeletal System > Fracture and/or Dislocation Treatment
In simple words: This surgery fixes a broken upper arm bone that hasn't healed properly or has healed in the wrong position. The doctor cuts away the broken parts, takes a piece of bone from elsewhere in the body (usually the hip), and uses it to fill the gap and help the bone heal correctly.The arm is then put in a splint.
This procedure involves the surgical repair of a nonunion (failure of a fractured bone to heal) or malunion (healing of a fractured bone in an incorrect position) of the humerus (upper arm bone).The surgeon makes an incision over the humeral shaft, exposes the nonunion/malunion site, excises the irregular bone, and harvests an autograft (bone graft from the patient's own body, typically the iliac bone) to bridge the gap. The graft is used to facilitate bone healing and restore proper alignment. The surgical site is then irrigated, sutured, and immobilized with a splint.
Example 1: A 35-year-old male sustains a midshaft humeral fracture in a motorcycle accident. Despite initial closed reduction and casting, a nonunion develops.A bone graft is required to promote healing and restore the humerus to its anatomical position., A 50-year-old female falls from a height, resulting in a comminuted humeral fracture.After initial open reduction and internal fixation, malunion occurs. Revision surgery with autograft is needed to correct the malalignment and improve function., A 22-year-old athlete suffers a humeral fracture requiring surgical intervention.The fracture heals in a malunion resulting in decreased range of motion. Corrective osteotomy with autologous bone grafting is performed.
** The source describes the procedure thoroughly but lacks specific information regarding RVUs, global periods, and historical fee schedules, therefore those fields were filled with guidance for additional research.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: This information is not provided in the source.Consult the current year's relative value units (RVUs) from CMS.
- Global Days : The global period for this procedure would need to be determined based on the specific payer's guidelines and the individual circumstances of the case.It's typically longer than for simpler procedures.
- Payment Status: Active
- Modifier TC rule: Not applicable; this is a complete procedure code.
- Fee Schedule : This data is not included in the provided source. Consult historical fee schedules from CMS for specific years.
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center