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The CPT® Code 20932 refers to the procedure involving the insertion of an allograft, which is a graft of tissue obtained from a donor (often a cadaver) that is used to reconstruct a bone or soft tissue deficit. This procedure is particularly relevant in cases where there is a need to address significant bone loss due to various conditions such as tumors, osteochondral cysts, posttraumatic or degenerative arthritis, traumatic injuries, or avascular necrosis. The goal of using an allograft is to avoid limb amputation and to preserve the function of the limb by restoring the structural integrity of the affected area. The allograft itself typically consists of bone, cartilage, or other tissues that are anatomically similar to the tissue being replaced. During the procedure, the surgeon accesses the joint or bone area, resecting the damaged tissue down to viable healthy bone or tissue. The allograft is then sculpted to match the shape and size of the removed tissue, using the excised material as a template. Once shaped, the allograft is inserted into the prepared site and secured in place using various fixation methods, which may include rods, cerclage wires, intramedullary nails, plates, or screws. This procedure can involve either a partial or complete intercalary allograft, depending on the extent of the bone loss. The use of this code is essential when billing for the allograft procedure, as it is listed separately in addition to the primary procedure code for radical resection of the diseased bone or joint or for implant removal.
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The procedure associated with CPT® Code 20932 is indicated for various conditions that result in significant bone or soft tissue deficits. These include:
The procedure for CPT® Code 20932 involves several critical steps to ensure the successful insertion of the allograft. These steps include:
After the allograft procedure is completed, post-procedure care is essential for ensuring proper recovery and integration of the graft. Patients may require monitoring for signs of infection or complications at the surgical site. Rehabilitation may involve physical therapy to restore function and strength to the affected limb. The expected recovery time can vary based on the extent of the procedure and the individual patient's health status. Follow-up appointments will be necessary to assess the healing process and the success of the allograft integration into the surrounding bone or tissue.
| Short Descr | OSTEOART ALGRFT W/SURF & B1 | Medium Descr | OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE | Long Descr | Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 23210 | MPFS Status: Active Code APC C Illustration for Code Radical resection of tumor; scapula | 23220 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Radical resection of tumor, proximal humerus | 24150 | MPFS Status: Active Code APC J1 CPT Assistant Article Illustration for Code Radical resection of tumor, shaft or distal humerus | 25170 | MPFS Status: Active Code APC J1 CPT Assistant Article Illustration for Code Radical resection of tumor, radius or ulna | 27075 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis | 27076 | MPFS Status: Active Code APC C Illustration for Code Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum | 27077 | MPFS Status: Active Code APC C Illustration for Code Radical resection of tumor; innominate bone, total | 27365 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Radical resection of tumor, femur or knee | 27645 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Radical resection of tumor; tibia | 27704 | MPFS Status: Active Code APC Q2 ASC A2 Illustration for Code Removal of ankle implant |
| 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | F1 | Left hand, second digit | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2019-01-01 | Added | Added |
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