Orthopedic repair and augmentation procedures, for instance, have no separate CPT coding for the application of allograft. Ms. Neumann said the possible use of modifier 22 or the use of an unlisted code (which will require payer review) are the options if allograft application increases service significantly. Some allograft products also have “Q” codes.
These options are something providers should consider when developing contracts with payers, according to Ms. Neumann.
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