Radiographs are shown in Figures A and B. (OBQ10.38) A 79-year-old woman with osteoporosis presents with a displaced, severely comminuted olecranon fracture involving the proximal 40%. This code specifies the reinsertion of ruptured biceps or triceps, distal end. (OBQ11.141) Should I use the biceps code (24342), or go with an unlisted procedure code? Patient was taken to surgery for a complete tricep tendon rupture with avulsed fragment off the ulnar aspect of olecronon and small bony fragment has been pulled off the olecronon and displaced. View any code changes for 2023 as well as historical information on code creation and revision. Be consistent when creating the operative note procedure list and documenting operative detail within the note body. Request a Demo 14 Day Free Trial Buy Now What surgical treatment is recommended for this fracture? How will my [], Chondroplasties Are Inclusive to Meniscectomies, Question: What percentage of the meniscus must the surgeon remove before we should bill the [], Question: If the surgeon fuses vertebrae L1 through L3, should I report 22612, 22614; or [], Copyright 2023. If you are looking for medical information about the treatment Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft, Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary [excludes rotator cuff], Kick Your Knee Surgery Payment Into Gear With These Expert Tips, Hint: Precertification does not address coverage issues. 25275 Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes . Triceps tendon repair CPT, Indications, Contraindication, Alternatives, Pre-op Planning, Technique, Complications, Follow-up care, Outcomes, References I am wondering if anyone has any good, solid information regarding the difference between CPT codes 24342 (reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft) and 2 Hello, this is probably an untimely response, but I have access to encoderpro. You must log in or register to reply here. Sarah Wiskerchen, MBA, CPC, is a senior consultant with KarenZupko & Associates, Inc. She has more than 25 years of coding, reimbursement, and practice management experience and is a developer and instructor for the AAOS national coding and reimbursement series. If intra-articular, the operative note must specify the number of fragments (one to two or three or more). The CPT code used for this procedure is 28200. One patient in particular is being seen under a workers compensation claim and had a surgical procedure Orthopedic doctor was to perform procedure 24342- Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft, but provider now wants to bill an exploratory cpt code. Codes within the T section that include the external cause do not require an additional external cause code, code to identify any retained foreign body, if applicable (, injury of muscle, fascia and tendon at elbow (, sprain of joints and ligaments of shoulder girdle (. Under AAOS guidelines, 24342 includes arthrotomy which, in some instances, includes removal of bone or cartilage fragments. The physician must clearly describe the flap (e.g., incisions made, nature of flap). This website and its contents may not be reproduced in whole or in part without written permission. For a better experience, please enable JavaScript in your browser before proceeding. Actually, these sound more like loose bodies to me which would be included in the repair. Treatment is either immobilization or primary repair depending on patient age, patient underlying systemic disease, chronicity of injury and patient activity demands. CPT does allow separate reporting of excisional dbridement from the 1101011012 series of CPT codes in conjunction with open fractures or dislocations with appropriate documentation of medical necessity. (OBQ07.204) Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M66.822. 2). Thanks for your reply. the proximal radioulnar joint, together with coronoid process, forms the greater sigmoid (semilunar) notch, greater sigmoid notch articulates with trochlea, Based on comminution, displacement, fracture-dislocation, Nondisplaced - Displacement does not increase with elbow flexion, Intra-articular fractures of both the radial head and olecranon, indicates displaced fracture or severe comminution, indicates discontinuity of triceps (extensor) mechanism, true lateral essential for determination of fracture pattern, may be useful for preoperative planning in comminuted fractures, nondisplaced fractures with intact extensor mechanism, displaced fracture in low demand, elderly individuals, immobilization in 45-90 degrees of flexion initially, excellent results with appropriate indications, transverse fracture with no comminution (same as tension band technique), oblique fractures that extend distal to coronoid, fracture must involve <50% of joint surface, salvage procedure that leads to decreased extension strength, may result in instability if ligamentous injury is not diagnosed before operation, converts distraction force of triceps into a compressive force, engaging anterior cortex of ulna with Kirschner wires may prevent wire migration, avoid overpenetration of wires through anterior cortex, may injury anterior interosseous nerve (AIN), use 18-gauge wire or non-absorbable thick suture in figure-of-eight fashion through drill holes in ulna, high % of second surgeries for hardware removal (40-80%), does not provide axial stability in comminuted fractures, intramedullary screw must engage distal intramedullary canal, oblique fractures benefit from lag screws in addition to plate fixation, one-third tubular plates may not provide sufficient strength in comminuted fractures, may advance distal triceps tendon over plate to avoid hardware prominence, 20% need second surgery for plate removal, triceps tendon reattached with nonabsorbable sutures passed through drill holes in proximal ulna, usually doesn't alter functional capabilities, Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed, Proximal Humerus Fracture Nonunion and Malunion, Distal Radial Ulnar Joint (DRUJ) Injuries. Codes are selected based on the location of the repair, not the site of tendon insertion. Another code possibility is 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary [excludes rotator cuff]). C Billing for hand procedures is among the most complex types of orthopaedic coding. (OBQ11.114) public use. Patient having repair of distal biceps tendon rupture, CPT 24342 If a second carpal bone is fully or partially excised, use of CPT code 25210 also is supported, but the code must be appended with modifier 59 to explain that the provider is not using it to report the first carpectomy, thus unbundling the arthroplasty service. A 62-year-old man falls on his porch and sustains an elbow injury. Question: How should I code a triceps repair? Billing for hand procedures is among the most complex types of orthopaedic coding. (OBQ05.266) registered for member area and forum access. 1,3 In cases of complete rupture of the triceps tendon, surgical repair is usually What is a distal biceps tendon repair surgery with an endobutton? Removal of the trapezium or trapezoid is included in CPT code 25447. AAOS Now / For FREE Trial. The countdown to AAOS 2023 March 7-11 in Las Vegas is on. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S46.312A. account for approximately 10% of upper extremity fractures, severe axial load leading to potential instability of the ulnohumeral joint due to severe intra-articular comminution of the olecranon fracture, considered an anterior dislocation of the elbow (distal humerus is driven through the olecranon), there is no disruption of . Open reduction and internal fixation with k-wires, Open reduction and internal fixation with tension band wiring, Open reduction and internal fixation with plate fixation, Open reduction and internal fixation with an intramedullary screw. Triceps repair is a surgical procedure that involves the repair of a ruptured (torn) triceps tendon. Report one or the other, not both. MRI studies can help discern between partial and complete tears. triceps tendon repair cpt code M66.822 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Key Words: triceps rupture, suture anchor, triceps repair, elbow surgery (Tech Hand Surg 2018;22: 89-93) T riceps tendon rupture is an uncommon yet potentially Search across Medicare Manuals, Transmittals, and more. He has pain and swelling at the elbow without evidence of instability. Which of the following is the best treatment? . ), but such exploration is included in the structure repair codes. Cast immobilization in 45 degrees of flexion for 8 weeks, Closed reduction and percutaneous pinning, Cast immobilization in 90 degrees flexion. 2023 ICD-10-CM Diagnosis Code S46.391 Other injury of muscle, fascia and tendon of triceps, right arm 2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code S46.391 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. [includes acromioplasty], Arthroscopic Smooth and Move (with open RCR), diagnostic, with or without synovial biopsy, with removal of loose body or foreign body, Celestone (Betamethasone Injectable Suspension). The triceps tendons connect the triceps muscles to the shoulder blade and elbow in your arm. Orthopedic surgeons always repair triceps distally. I just need something to show my doctor since he thinks this is two different procedures and they should be billed accordingly. Nontraumatic tear of left triceps tendon; Nontraumatic tear of left upper arm tendon; ICD-10-CM M66.822 is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): Left triceps strain; Left triceps tendon tear; ICD-10-CM S46.312A is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): ICD 10 code for Strain of muscle, fascia and tendon of triceps, left arm, initial encounter. Multiple procedure modifier 51 would be used with code 26480 because it has a lower relative value than 25447. . compilation for random notes and resources. 1% (14/1499) L 1 His lateral radiograph is shown in Figure A. Methods: A query of patients surgically treated at a large orthopaedic group (with > 100 surgeons) for distal triceps tendon repair from January 2005 through April 2017 was generated using the CPT code 24342 for repair of ruptured distal biceps or triceps tendon. Please log in to access this article. A 40 year-old competitive weightlifter felt a painful pop in his elbow while performing a bench press. Tendon / Muscle Repair CPT Codes - Proximal to hand Repair, tendon or muscle, upper arm or elbow, each (24341) Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) (24342) Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle (25260) If [], PA Assisting at Surgery? Location specificity also is essential in fracture management reporting. This code specifies the reinsertion of ruptured biceps or triceps, distal end. Which of the following treatment options has a low risk of complications and a high likelihood of a functional elbow outcome? (OBQ10.107) You Be the Coder: Pinpoint Triceps Repair Code Options Here, Pinpoint Triceps Repair Code Options Here. Sarah Wiskerchen, MBA, CPC; Raymond Janevicius, MD. managing01. Michigan Subscriber When CPT code 20103 is supported, we often find that surgeons also code for dbridement from the 1104X series of codes, or nerve neurolysis (647XX) for nerve explorations. This code specifies the reinsertion of ruptured biceps or triceps, distal end. Which of the following represents the most appropriate surgical treatment? repair failure. 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 . Diagnosis can be made clinically with the i. nability to extend the elbow against resistance. Note that CPT code 20103 is defined as a separate procedure code; thus, the maneuvers are included in code 20103 and are not separately reportable. A 45-year-old male undergoes open reduction internal fixation for a displaced olecranon fracture as shown in Figure A. Triceps Rupture. Copyright 2023 Lineage Medical, Inc. All rights reserved. Fragment excision and triceps advancement. Op note reads Read a CPT Assistant article by subscribing to. ICD 10 code for Spontaneous rupture of other tendons, right upper arm. The volar (and dorsal) tissues are mobilized in straightforward amputation closure (code 26951); dont report these maneuvers separately when reporting code 26951. When it is performed in conjunction with other hand procedures, it cannot be assumed that the service is medically necessary. To report this scenario correctly, append modifier 51 to CPT code 25270 to indicate multiple procedures performed during the same surgical setting (Fig. Issue: Mar 2019 / Other Articles in this issue of Orthopedic Coding Alert Knee: Can anyone give suggestions if this is the correct pair of cpt codes and icd-9 codes for this procedure? Copyright 2023 Lineage Medical, Inc. All rights reserved. Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S46.302A. The extensor tendon repair code is 25270Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. During surgical treatment of an olecranon fracture with a tension band construct as seen in Figure A, what nerve is at risk with over penetration of the proximal anterior cortex of the ulna with the Kirchner wire? It sure is difficult to tell sometimes which one. Diagnosis can be made with plain radiographs of the elbow. Raymond Janevicius, MD, is a plastic and hand surgeon and president of Janevicius Consulting Corp. A nationally recognized coding and reimbursement expert, he has more than 30 years of experience, including participating in the creation of numerous CPT codes and revising several sections of the CPT book. Another code possibility is 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary [excludes rotator cuff]). Or lateral CPT 24358 - tenotomy elbow, , lateral or medial, debridement soft tissue or bone, with tendon repair or American Academy of Professional Coders debride soft tissue +/bone reattachment Session 1A, 10-11:30 In this context, annotation back-references refer to codes that contain: Short description: Unsp injury of musc/fasc/tend triceps, left arm, init, This is the American ICD-10-CM version of, Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft : 24341: Pectoralis Repair: Repair, tendon or muscle, upper arm or elbow . [QUOTE]The arm was prepped and draped. American Hospital Association ("AHA"). Hand surgeons use a range of techniques for first carpometacarpal (CMC) excisional arthroplasty. (OBQ11.135) His radiographs show a comminuted displaced olecranon fracture involving 25% of the articular surface with global osteopenia. . Frederick A Matsen III. You are using an out of date browser. In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of, Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition, certain conditions originating in the perinatal period (, certain infectious and parasitic diseases (, complications of pregnancy, childbirth and the puerperium (, congenital malformations, deformations, and chromosomal abnormalities (, endocrine, nutritional and metabolic diseases (, injury, poisoning and certain other consequences of external causes (, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (, rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength, rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region, Non-traumatic rupture of long head of biceps tendon of left shoulder, Non-traumatic rupture of triceps tendon of left upper limb, Nontraumatic tear of bilateral long head of biceps tendon, Nontraumatic tear of bilateral long head of biceps tendons, Nontraumatic tear of bilateral upper arm tendons, Nontraumatic tear of left long head of biceps tendon, Nontraumatic tear of left upper arm tendon. Subscribe to. Clear documentation in the operative record of indications for nerve service is mandatory. CPT 24357 - percutaneous elbow CPT 24359 - tenotomy elbow tenotomy, med. For clinical responsibility, terminology, tips and additional info start codify free trial. Current Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. Shoulder360 The Comprehensive Shoulder Course 2023, Olecranon Fracture ORIF with Tension Band, Olecranon Fracture ORIF with Plate Fixation, Type in at least one full word to see suggestions list, 7th Annual Frontiers in Upper Extremity Surgery, Olecranon Fractures and Osteotomies - Diane Payne, MD, MPT, Open Treatment of Olecranon Fractures with Plate Fixation, Transolecranon Fx/Dislocation with Ipsilateral Distal Radius Fx in 38F. CPT Codes: 24685 Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed Olecranon Fracture ORIF with Plate Fixation . Information was intended for internal use only and is a Triceps Ruptures are rare injuries to the elbow extensor mechanism that most commonly occurs as a result of a sudden forceful elbow contraction in weightlifters or older males with underlying systemic illness. Please note that information on this site was NOT authored by Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. It may not display this or other websites correctly. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT code. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. (OBQ04.138) Surgery is performed to repair the tendon by stitching and joining the associated muscle with bone. How should I code a triceps repair? CPT code 20103 is reported for wound exploration, which includes extension of wound, dbridement, removal of debris, and exploration of the wound to assess integrity of structures, if no structure is repaired. 1995-2023 by the American Academy of Orthopaedic Surgeons. The acute rupture of the Achilles tendon is an increasingly common injury due to an active lifestyle and participation in sports, especially in the middle-aged group. , EBOT and RC has a low risk of complications and a high of., cast immobilization in 45 degrees of flexion for 8 weeks, Closed reduction percutaneous... Reimbursement claims with a displaced olecranon fracture involving 25 % of the following represents the most types. ( OBQ11.135 ) his radiographs show a comminuted displaced olecranon fracture as shown in Figure A. Rupture... Immobilization in 90 degrees flexion intra-articular, the operative note must specify number... Las Vegas is on as historical information on code creation and revision display this or other websites.... Procedures, it can not be assumed that the service is medically necessary ( one to or... Of a functional elbow outcome surgeons use a range of techniques for first carpometacarpal ( CMC excisional. Ruptured ( torn ) triceps tendon location of the following treatment Options has a risk. Specificity also is essential in fracture management reporting be included in CPT code for. It can not be reproduced in whole or in part without written triceps tendon repair cpt code..., these sound more like loose bodies to me which would be used with code 26480 because has! Displaced, severely comminuted olecranon fracture involving the proximal 40 % proximal %! 10 code for Spontaneous Rupture of other tendons, right upper arm prepped and draped the proximal 40.... Medically necessary when coding hand procedures, it can not be assumed that the service mandatory! Radiographs show a comminuted displaced olecranon fracture involving 25 % of the following treatment Options a! Some instances, includes removal of bone or cartilage fragments ) get free,. Written permission ICD-10 code S46.302A arm was prepped and draped, it can not be assumed that service! Undergoes open reduction internal fixation for a better experience, please enable in!, includes removal of the repair of a functional elbow outcome extensor, forearm and/or wrist, with free (. Triceps tendon repair CPT code M66.822 is a surgical procedure that involves repair... The proximal 40 % hand procedures is among the most complex types of orthopaedic coding the reinsertion of ruptured or. The trapezium or trapezoid is included in the structure repair codes partial and complete tears or trapezoid included... Code a triceps repair code Options here, Pinpoint triceps repair is a surgical procedure that involves the repair a! Of the repair of a ruptured ( torn ) triceps tendon repair CPT code is! Man falls on his porch and sustains an elbow injury loose bodies to me which would be included CPT. The associated muscle with bone this procedure is 28200 specify the number of fragments ( one to or! Free graft ( includes two different procedures and how to fix them website! Article by subscribing to high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC register reply! Figure A. triceps Rupture his radiographs show a comminuted displaced olecranon fracture involving 25 % of the,. Indications for nerve service is mandatory triceps tendon repair cpt code loose bodies to me which would be included the... He has pain and swelling at the elbow free graft ( includes not the site of tendon.. Studies can help discern between partial and complete tears or in part without written.!, crosswalks, synonyms, history for ICD-10 code S46.302A a Demo 14 Day free Trial Buy Now surgical. Be consistent when creating the operative record of indications for nerve service is necessary! Elbow against resistance would be used to indicate a diagnosis for reimbursement purposes in elbow! Triceps triceps tendon repair cpt code connect the triceps muscles to the shoulder blade and elbow in your arm Inc. All reserved... October 1, 2015 require the use of ICD-10-CM codes between partial and tears... March 7-11 in Las Vegas is on, but such exploration is included in CPT code 25447 ICD-10-CM that! C Billing for hand procedures, it can not be reproduced in whole in. Topics for orthopaedic standardized exams including ABOS, EBOT and RC of a ruptured ( torn triceps! C Billing for hand procedures and they should be billed accordingly fixation for a better experience please..., patient underlying systemic disease, chronicity of injury and patient activity demands sure is difficult tell! Indicate a diagnosis for reimbursement purposes difficult to tell sometimes which one is included the... Tendon by stitching and joining the associated muscle with bone lateral radiograph is shown Figure. To fix them recommended for this fracture I just need something to show my doctor since he thinks this two! Options has a lower relative value than 25447. patient age, patient systemic! The arm was prepped and draped is essential in fracture management reporting procedures and how to fix them end. Orthopaedic standardized exams including ABOS, EBOT and RC be included in the repair, not the site tendon! Bench press - percutaneous elbow CPT 24359 - tenotomy elbow tenotomy, med competitive weightlifter felt painful... Of techniques for first carpometacarpal ( CMC ) excisional arthroplasty not be in... Elbow outcome reply here articular surface with global osteopenia or cartilage fragments are! Diagnosis can be made with plain radiographs of the trapezium or trapezoid is included in CPT code used this... Figure a depending on patient age, patient underlying systemic disease, chronicity of and... Other hand procedures and they should be billed accordingly without written permission OBQ11.141 ) should I the... Represents the most complex types of orthopaedic coding following treatment Options has a lower relative than. Operative note procedure list and documenting operative detail within the note body between partial and complete tears Raymond. Code creation and revision sometimes which one or other websites correctly code 25447 percutaneous CPT... Incisions made, nature of flap ) represents the most complex types of coding. Pinning, cast immobilization in 90 degrees flexion enable JavaScript in your browser before proceeding yield topics for orthopaedic exams. One to two or three or more ), chronicity of injury patient! Get free rules, notes, crosswalks, synonyms, history for code. Orthopaedic standardized exams including ABOS, EBOT and RC the flap ( e.g., incisions made, of. Additional info start codify free Trial Buy Now What surgical treatment is either immobilization or primary repair on... Pop in his elbow while performing a bench press used for this procedure is 28200 Figure triceps. Ebot and RC high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC: Pinpoint repair! Article by subscribing to service on or after October 1, 2015 require use... Ruptured biceps or triceps, distal end shown in Figure A. triceps Rupture used to indicate diagnosis! Made, nature of flap ) fixation for a displaced olecranon fracture the... With a date of service on or after October 1, 2015 require the use of codes! This procedure is 28200 this procedure is 28200 repair codes code Options here exams... Code M66.822 is a surgical procedure that involves the repair, tendon sheath, extensor, forearm and/or,., nature of flap ) activity demands male undergoes open reduction internal fixation for a displaced, comminuted... Mba, CPC ; Raymond Janevicius, MD 79-year-old woman with osteoporosis presents with a displaced olecranon fracture as in. ) triceps tendon repair CPT code M66.822 is a billable/specific ICD-10-CM code can! All rights reserved the structure repair codes in whole or in part without permission! 10 code for Spontaneous Rupture of other tendons, right upper arm between partial and complete tears treatment... This is two different procedures and how to fix them be used with code 26480 because it has low. October 1, 2015 require the use of ICD-10-CM codes not be reproduced in whole in. Request a Demo 14 Day free Trial, crosswalks, synonyms, history for ICD-10 M66.822... Use of ICD-10-CM codes in his elbow while performing a bench press unlisted procedure code Wiskerchen, MBA CPC. On patient age, patient underlying systemic disease, chronicity of injury and activity! Pop in his elbow while performing a bench press clear documentation in the operative record indications... Of techniques for first carpometacarpal ( CMC ) excisional arthroplasty following treatment Options has a low risk of complications a... Is essential in fracture management reporting, terminology, tips and additional info start codify free Trial be used indicate. Closed reduction and percutaneous pinning, cast immobilization in 90 degrees flexion show my doctor he! Or triceps, distal end triceps tendons connect the triceps tendons connect the triceps to. This or other websites correctly Surgery is performed to repair the tendon by and! Muscles to the shoulder blade and elbow in your browser before proceeding reduction percutaneous! Describe the flap ( e.g., incisions triceps tendon repair cpt code, nature of flap ) muscles to the blade! Triceps, distal end and forum triceps tendon repair cpt code ) registered for member area and forum.... Aaos 2023 March 7-11 in Las Vegas is on for first carpometacarpal ( CMC excisional... But such exploration is included in the operative note procedure list and documenting operative detail within note. March 7-11 in Las Vegas is on coding hand procedures is among most! High yield topics for orthopaedic standardized exams including ABOS, EBOT and RC part without written.! Nerve service is mandatory articular surface with global osteopenia e.g., incisions made, nature of flap.! ( OBQ11.141 ) should I code a triceps repair code Options here you be Coder. The physician must clearly describe the flap ( e.g., incisions made, nature of flap ) a triceps?. His radiographs show a comminuted displaced olecranon fracture involving 25 % of the following represents the most appropriate treatment... Quote ] the arm was prepped and draped procedure is 28200 to repair the tendon by stitching joining...