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Flexor-plasty of the elbow, as described by CPT® Code 24330, is a surgical procedure aimed at repairing the flexor-pronator complex, which may be partially or completely detached at the elbow joint. This procedure is particularly indicated for patients who have experienced significant loss of function due to injuries or conditions affecting the flexor muscles, which are crucial for elbow flexion and forearm pronation. The surgery involves making an incision over the elbow joint to access the underlying structures. During the procedure, the ulnar nerve is carefully dissected and protected to prevent nerve damage. If the flexor-pronator complex remains intact, it is surgically detached along with a segment of the medial epicondyle using a chisel. The flexor group is then meticulously dissected, and a planned attachment site on the humerus is prepared by drilling a hole. The flexor group is subsequently transferred proximally by 2 to 6 centimeters and reattached to the medial or mediovolar surface of the humerus. To secure the flexor group in place, a fixing wire is pulled through the drilled hole, and additional screw fixation may be employed to stabilize the epicondyle fragment. This procedure is essential for restoring elbow function and improving the patient's ability to perform daily activities that require flexion of the elbow.
© Copyright 2025 Coding Ahead. All rights reserved.
The flexor-plasty procedure, coded under CPT® 24330, is indicated for specific conditions affecting the elbow joint, particularly those involving the flexor-pronator complex. The following are the primary indications for performing this procedure:
The flexor-plasty procedure involves several critical steps to ensure successful repair and restoration of function. The following outlines the procedural steps as described:
After the flexor-plasty procedure, patients can expect a recovery period that may involve immobilization of the elbow to promote healing. Post-operative care typically includes pain management, monitoring for any signs of complications, and a structured rehabilitation program to restore range of motion and strength. Physical therapy may be recommended to facilitate recovery and improve functional outcomes. The duration of recovery can vary based on individual patient factors and the extent of the surgical intervention.
| Short Descr | FLEXOR-PLASTY ELBOW | Medium Descr | FLEXOR-PLASTY ELBOW | Long Descr | Flexor-plasty, elbow (eg, Steindler type advancement); | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | 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) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 160 - Other therapeutic procedures on muscles and tendons |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | 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) |
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| 2023-01-01 | Note | Short description changed. |
| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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