CPT code 20902 refers to a surgical procedure where a significant amount of bone is taken from one part of the body to help repair or build up bones in another area. CPT 20902 represents “Bone graft, any donor area; major or large”.
Procedure Explanation:
The main idea of this procedure is to take a large piece of bone from one spot, often called the “donor area,” and use it to help heal or strengthen another bone in the body that needs support. This procedure focuses on major or big-size bone grafts and does not cover smaller transplants or any other treatments like screws or plates. It’s meant specifically for those more extensive repairs where a substantial piece of bone is needed.
Common Names:
- Major Bone Graft
- Large Bone Transplant
- Extensive Bone Grafting
Relative Value Units (RVU):
The RVUs associated with this code are 4.58.
How This Procedure Appears:
- Operating Room Schedule Name: Large Bone Graft
- Surgical Consent Form Name: Major Bone Transplantation
Typical Patients and Diagnoses:
This procedure is most often used when a person has a bone injury or defect that requires restoration. For example, someone who experienced a significant fracture that didn’t heal correctly might need this procedure. It can also be used for people with bone diseases that cause weak spots needing reinforcement.
Associated ICD-10 Codes:
- M84.40: A code for diagnosing a fracture that has not healed properly or is healing slowly.
- M80.0: This represents bone weakness due to osteoporosis, where bones are more likely to break.
- M84.50: Refers to a problem with bone healing, specifically abnormal deposits in the healing process.
Summary
In summary, code 20902 describes the process of grafting larger sections of bone to repair or strengthen other bones. Typical ICD-10 codes associated with 20902 include M84.40 (slow-healing fractures) and M80.0 (osteoporosis-related weakness).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.