F021

PDF page 602 / N22

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
ELBOW AND FOREARM
                                                                         Asst         Surg         Anae
    Payment rules:
    1.F021 is not eligible for payment with F030 for fracture(s) of the same wrist.
    2.E063 is not eligible for payment unless both dorsal and volar internal fixation are described
      for treatment of an AO/OTA Group C distal radial fracture.
    3.F030 includes denervation of wrist, if performed.
    [Commentary:
    The AO/OTA classification of distal radial fractures is as follows:
    A – extra-articular fracture
    B – partial articular fracture (involving radial styloid, dorsal rim or volar rim)
    C – complete articular fracture]

PDF page 623 / N43

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 FEMUR
                                                                                                     Asst    Surg     Anae
# F095 Closed reduction of femoral fracture including one of:
        - application of external fixation, or
        - skeletal traction, or
        - closed reduction with application of unilateral or bilateral hip
          spica cast in infant or child                                                               6      407.35    6
      Open reduction
# F096 Femur .....................................................................................    6      774.05    8
# F093 Diaphyseal or metaphyseal distal femur fracture with intra-
         articular extension – with or without intramedullary fixation                                6     1285.00    8
         Payment rules:
         1.F096 includes intramedullary nail with proximal and distal locking screws if performed.
         2.F093 is not eligible for payment for repair of an isolated distal femoral osteochondral fracture.
         3.F021 and F096 are not eligible for payment with F093 for treatment of fractures below the
           intertrochanteric region on the same femur.
         4.E555 is not eligible for payment with F094 or F095.
         5.Z207 and Z209 are not eligible for payment with F095.

Master, record 1694. Record Layout PDF, page 1.

F02120260401999999990000392400000000774600000000000000000111720000001117200

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.