Insurance and Medical Coding Test Prep

Category - Free Coding Specialist Practice Test

A physician excised the head of the humeral bone and replaced it with the appropriate implant. What is the correct code for this procedure?
  1. 23195
  2. 23470
  3. 23195, 23470
  4. 23472
Explanation
Answer: B - The correct code for the procedure is23470 (Arthroplasty, Glenohumeral Joint; Hemiarthroplasty). Notes under code 23195 (Resection, Humeral Head) state that the appropriate way to report replacement of the humeral head with implant is with code 23470 only.
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