Coding and Billing Information

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Bioventus works closely with payers to help with reimbursement and coding issues. To this end, we provide this Code Glossary as a resource for payers.

See Terms of Use for Code Glossary Here.

IMPORTANT: The diagnostic codes referenced below are for information purposes only and are not designed to be a reference to EXOGEN indications or health plan coverage.

807 Fracture of rib(s), sternum, larynx, and trachea

The following fifth-digit subclassification is for use with codes 807.0-807.1:
0 Rib(s), unspecified
1 One rib
2 Two ribs
3 Three ribs
4 Four ribs
5 Five ribs
6 Six ribs
7 Seven ribs
8 Eight ribs
9 Multiple ribs, unspecified
807.0 Rib(s), closed
[0-9]
807.1 Rib(s), open [0-9]
807.2 Sternum, closed
807.3 Sternum, open
807.4 Flail chest
807.5 Larynx and trachea, closed
Hyoid bone
Thyroid cartilage
Trachea
807.6 Larynx and trachea, open

808 Fracture of pelvis

808.0 Acetabulum, closed
808.1 Acetabulum, open
808.2 Pubis, closed
808.3 Pubis, open
808.4 Other specified part, closed
808.41 Ilium
808.42 Ishium
808.43 Multiple pelvic fractures with disruption of pelvic circle
808.49 Other
808.5 Other specified part, open
808.51 Ilium
808.52 Ishium
808.53 Multiple pelvic fractures with disruption of pelvic circle
808.59 Other
808.8 Unspecified, closed
808.9 Unspecified, open

809 Ill-defined fractures of bones of trunk

Includes: bones of trunk with other bones except those of skull and face
multiple bones of trunk
Excludes: multiple fractures of:
pelvic bones alone (808.0-808.9)
ribs alone (807.0-807.1, 807.4)
ribs or sternum with limb bones (819.0-819.1, 828.0-828.1)
skull or face with other bones (804.0-804.9)
809.0 Fracture of bones of trunk, closed
809.1 Fracture of bones of trunk, open

810 Fractures of clavicle

Includes collarbone
Interligamentous part of clavicle
The following fifth digit subclassification is for use with category 810:
810.0 Closed
810.1 Open
0 Unspecified part
1 Sternal end of clavicle
2 Shaft of clavicle
3 Acromial end of clavicle

811 Fracture of scapula

Includes shoulder blade
811.0 Closed
811.1 Open
The following fifth digit subclassification is for use with category 811:
0 Unspecified part
1 Acromial process
Acromion (process)
2 Coracoid process
3 Glenoid cavity and neck of scapula
9 Other

812 Fracture of humerus

812.0 Upper end, closed
812.00 Upper end, unspecified part
Proximal end shoulder
812.01 Surgical neck
Neck of humerus NOS
812.02 Anatomical neck
812.03 Greater tuberosity
812.09 Other
Head, upper epiphysis
812.1 Upper end, open
812.10 Upper end, unspecified part
812.11 Surgical neck
812.12 Anatomical neck
812.13 Greater tuberosity
812.19 Other
812.2 Shaft or unspecified part, closed
812.20 Unspecified part of humerus
812.21 Shaft of humerus
812.3 Shaft or unspecified part of humerus, open
812.30 Unspecified part of humerus
812.31 Shaft of humerus
812.4 Lower end, closed
Distal end of humerus
Elbow
812.40 Lower end, unspecified part
812.41 Supracondylar fracture of humerus
812.42 Lateral condyle
External condyle
812.43 Medial condyle
Internal epicondyle
812.44 Condyle(s), unspecified
Articular process NOS
Lower epiphysis NOS
812.49 Other
Multiple fractures of lower end Trochlea
812.5 Lower end, open
812.50 Lower end, unspecified part
812.51 Supracondylar fracture of humerus
812.52 Lateral condyle
812.53 Medial condyle
812.54 Condyle(s), unspecified
812.59 Other

813 Fracture of radius and ulna

813.0 Upper end, closed
Proximal end
813.00 Upper end of forearm, unspecified
813.01 Olecranon process of ulna
813.02 Coronoid process of ulna
813.03 Monteggia’s fracture
Fracture near the head of the ulnar shaft,
causing dislocation of the radial head.
813.04 Other and unspecified fractures of
proximal end of ulna (alone)
Multiple fractures of ulna, upper end
813.05 Head of radius
813.06 Neck of radius
813.07 Other and unspecified fractures of proximal end
of radius (alone) Multiple fractures of radius, upper
end
813.08 Radius with ulna, upper end (any part)
813.1 Upper end, open
813.10 Upper end of forearm, unspecified
813.11 Olecranon process of ulna
813.12 Coronoid process of ulna
813.13 Monteggia’s fracture
813.14 Other and unspecified fractures of proximal end of ulna (alone)
813.15 Head of radius
813.16 Neck of radius
813.17 Other and unspecified fractures of proximal end of radius (alone)
813.18 Radius with ulna, upper end (any part)
813.2 Shaft, closed
813.20 Shaft, unspecified
813.21 Radius (alone)
813.22 Ulna (alone)
813.23 Radius and ulna
813.3 Shaft, open
813.30 Shaft, unspecified
813.31 Radius, (alone)
813.32 Ulna (alone)
8.13.33 Radius and ulna
813.4 Lower end, closed
Distal end
813.40 Lower end of forearm, unspecified
813.41 Colles’ fracture
Smith’s fracture break of lower end of radius
associated with backward movement of the
radius lower section.
813.42 Other fractures of distal end of radius (alone)
Dupuytren’s fracture, radius
Radius, lower end
813.43 Distal end of ulna (alone)
Ulna:
Head Lower epiphysis
Lower end Styloid process
813.44 Distal end of ulna, lower end
813.45 Torus fracture of radius
813.5 Lower end, open
813.50 Lower end of forearm, unspecified
813.51 Colles’ fracture
813.52 Other fractures of distal end of radius (alone)
813.53 Distal end of ulna (alone)
813.54 Radius with ulna, lower end
813.8 Unspecified part, closed
813.80 Forearm, unspecified
813.81 Radius (alone)
813.82 Ulna (alone)
813.83 Radius with ulna
813.9 Unspecified part, open
813.90 Forearm, unspecified
813.91 Radius (alone)
813.92 Ulna (alone)
813.93 Radius with ulna

814 Fracture of carpal bone(s)

The following fifth-digit subclassification is for use with category 814:
814.0 Closed
814.1 Open
0 carpal bone, unspecified
1 navicular (scaphoid) of wrist
2 lunate (semilunar) bone of wrist
3 triquetral (cuneiform) bone of wrist
4 pisiform
5 trapezium bone (larger multangular)
6 trapezoid bone (smaller multangular)
7 capitate bone (os magnum)
8 hamate (unciform) bone
9 other

815 Fracture of metacarpal bone(s)

Includes hand (except finger)
Metacarpus
The following fifth-digit subclassification is for use with category 815:
815.0 Closed
815.1 Open
0 metacarpal bone(s), site unspecified
1 base of thumb (first) metacarpal
2 base of other metacarpal bone(s)
3 shaft of metacarpal bone(s)
4 neck of metacarpal bone(s)
9 multiple sites of metacarpus

816 Fracture of one or more phalanges hand

Finger(s) thumb
Metacarpus
The following fifth-digit subclassification is for use with category 816:
816.0 Closed
816.1 Open
0 phalanx or phalanges, unspecified
1 middle or proximal phalanx or phalanges
2 distal phalanx or phalanges
3 multiple sites

817 Multiple fractures of hand bones

Metacarpal bone(s) with phalanx or phalanges of same hand
817.0 Closed
817.1 Open

818 III-defined fractures of upper limb

Includes: arm NOS
multiple bones of same upper limb
Excludes: multiple fractures of:
metacarpal bones with phalanx or phalanges (817.0-817.1)
phalanges of hand alone (816.0-816.1)
radius with ulna (813.0-813.9)
818.0 Closed
818.1 Open

819 Multiple fractures involving both upper limbs, and upper limb and rib(s) and sternum

Arm(s) with rib(s) or sternum
Both arms (any bones)
819.0 Closed
819.1 Open

820 Fracture of neck of femur

820.0 Transverical fracture, closed
820.00 Intracapsular section, unspecified
820.01 Epiphysis (separation) (upper)
Transepiphyseal
820.02 Midcervical section
Transcervical NOS
820.03 Base of neck
Cervicotrochanteric section
820.09 Other
Head of femur subcapital
820.1 Transcervical fracture, open
820.10 Intracapsular section, unspecified
820.11 Epiphysis (separation) (upper)
820.12 Midcervical section
820.13 Base of neck
820.19 Other
820.2 Pertrochanteric fracture, closed
820.20 Trochanteric section, unspecified
Trochanter: NOS greater
Lesser
820.21 Intratrochanteric section
820.22 Subtrochanteric section
820.3 Pertrochanteric fracture, open
820.30 Trochanteric section, unspecified
820.31 Intratrochanteric section
820.32 Subtrochanteric section
820.8 Unspecified part of neck of femur, closed
Hip NOS Neck of femur NOS
820.9 Unspecified part of neck of femur, open

821 Fracture of other and unspecified parts of femur

821.0 Shaft or unspecified part, closed
821.00 Unspecified part of femur
Thigh Upper leg
821.01 Shaft
821.1 Shaft or unspecified part, open
821.10 Unspecified part of femur
821.11 Shaft
821.2 Lower end, closed
Distal end
821.20 Lower end, unspecified part
821.21 Condyle, femoral
821.22 Epiphysis, lower (separation)
821.23 Supracondylar fracture of femur
Multiple fractures of lower end
821.29 Other
Multiple fractures of lower end
821.3 Lower end, open
821.30 Lower end, unspecified part
821.31 Condyle, femoral
821.32 Epiphysis, lower (separation)
821.33 Supracondylar fracture of femur
821.39 Other

822 Fracture of patella

822.0 Closed
822.1 Open

823 Fracture of tibia and fibula

Excludes:Dupuytren’s fracture (824.4-824.5)
Ankle (824.4-824.5)
Radius (813.42, 813.52)
Pott’s fracture (824.4-824.5)
involving ankle ( 824.0-824.9)
The following fifth-digit subclassification is for use with category 823:
0 tibia alone
1 fibula alone
2 fibula with tibia
823.0 Upper end, closed
Head Tibia:
Proximal end condyles tuberosity
823.1 Upper end, open
823.2 Shaft, closed
823.3 Shaft, open
823.4 Torus fracture
Def: A bone deformity in children, occurring commonly in the tibia and fibula, in which the bone bends and buckles but does not fracture.
823.8 Unspecified part, closed
Lower leg NOS
823.9 Unspecified part, open

824 Fracture of ankle

824.0 Medial malleolus, closed
Tibia involving:
Ankle malleolus
824.1 Medial malleolus, open
824.2 Lateral malleolus, closed
Fibula involving:
Ankle malleolus
824.3 Lateral malleolus, open
824.4 Bimalleolar, closed
Dupuytren’s fracture, fibula
Potts fracture
Def: Bimalleolar, closed: Breaking of both nodules
(malleoli) on either side of ankle joint, without an open
wound
Def: Dupuytren’s fracture (Pott’s fracture): The breaking
of the farthest end of the lower leg bone (fibula,
with injury to the farthest end joint of the other lower
leg bone (tibia)
824.5 Bimalleolar, open
824.6 Trimalleolar, closed
Lateral and medial malleolus with anterior or
posterior lip of tibia
824.7 Trimalleolar, open
824.8 Unspecified, closed
Ankle NOS
824.9 Unspecified, open

825 Fracture of one or more tarsal and metatarsal bones

825.0 Fracture of calcaneus, closed
Heel bone Os calciss
825.1 Fracture of calcaneus, open
825.2 Fracture of other tarsal and metatarsal bones, closed
825.20 Unspecified bones of foot (except toes)
Instep
825.21 Astragalus
Talus
825.22 Navicular (scaphoid), foot
825.23 Cuboid
825.24 Cuneiform, foot
825.25 Metatarsal(s)
825.29 Other
Tarsal with metatarsal bone(s) only
Excludes: Calcaneus ( 825.0)
825.3 Fracture of other tarsal and metatarsal bones, open
825.30 Unspecified bones of foot (except toes)
Instep
825.31 Astragalus
Talus
825.32 Navicular (scaphoid), foot
825.33 Cuboid
825.34 Cuneiform, foot
825.35 Metatarsal(s)
825.39 Other

826 Fracture of one or more phalanges of foot

Includes toe(s)
826.0 Closed
826.1 Open

827 Other, multiple and ill-defined fractures of lower limb

Includes leg NOS
Multiple bones of same lower limb
Excludes multiple fractures of:
Ankle bones alone (824.4-824.9)
Phalanges of foot alone (826.0-826.1)
Tarsal with metatarsal bones (825.9-825.39
Tibia with fibula (823.0-823.9 with fifth digit)
827.0 Closed
827.1 Open

828 Multiple fractures involving both lower limbs, lower with upper limb and lower limbs with rib(s) and sternum

Includes arm(s) with leg(s) any bones
Both leg(s) (any bones)
Leg(s) with rib(s) or sternum
828.0 Closed
828.1 Open

829 Fracture of unspecified bones

829.0 Unspecified bone, closed
829.1 Unspecified bone, open

Fracture, Stress

733.93 Tibia or fibula
733.94 Metatarsals
733.95 of other bone

General

356.1 Charco-Marie-Tooth synd
733.81 Malunion of fracture
733.82 Nonunion of fracture
V45.4 Arthrodesis status

Comorbidities

250.00 Diabetes, unspecified
250.01 Diabetes, Type I
250.02 Diabetes, Type II
278.00 Obesity unspecified
278.01 Morbid obesity
278.02 Overweight
281.0-281.9 Severe anemia
285.9 Anemia
305.1 Smoker
303.9 Alcoholism
401.9 Hypertension
459.9 Vascular disease
429.2 Cardiovascular disease
585.0-585.9 End stage renal disease
593.9 Renal disease
715.0_ Generalized osteoarthritis
715.1_ Localized primary osteoarthritis (0-8)
715.2_ Localized secondary osteoarthritis (0-8)
719.4_ Pain, joint osteoarthritis
715.9_ Localized or generalized NOS osteoarthritis (0-8)
733.00-733.09 Osteoporosis
733.90 Osteopenia, disorder of bone and cartilage, unspecified
781.2 Abnormal, gait
E9320.0 Steroid therapy
V11.3.303-303.93 Alcoholism history
V58.65 Long term steriod use
V58.64 NSAID non-steroidal use
V58.11 Chemotherapy
V58.12 Immunotherapy
V15.81 Noncompliance with medical treatment
V85.-V85.5 Body mass index

Terms of Use

EXOGEN® Ultrasound Bone Healing System has a specific HCPCS Code: E0760 Osteogenic stimulator, low intensity ultrasound, non-invasive.

CPT code 20979: Application of low intensity ultrasound stimulation to aid in bone healing, noninvasive (non-operative)

Modifier: NU, Purchased new

If billed by Home Health facility: Ultrasonic Osteogenic Stimulator only when the services are submitted on types of bills (TOBs) 32X, 33X, or 34X.

Common ICD-9CM Diagnosis Codes associated with ultrasound bone healing: Fracture, open or closed

* Summary of Indications for Use: The EXOGEN Ultrasound Bone Healing System is indicated for the non-invasive treatment of established non-unions† excluding skull and vertebra.

In addition, EXOGEN is indicated for accelerating the time to a healed fracture for fresh, closed, posteriorly displaced distal radius fractures and fresh, closed or Grade I open tibial diaphysis fractures in skeletally mature individuals when these fractures are orthopaedically managed by closed reduction and cast immobilization.

There are no known contraindications for the EXOGEN device. Safety and effectiveness has not been established for individuals lacking skeletal maturity; pregnant or nursing women; patients with cardiac pacemakers; on fractures due to bone cancer; or on patients with poor blood circulation or clotting problems. Some patients may be sensitive to the ultrasound gel. Full prescribing information can be found in product labeling, at www.exogen.com or by contacting customer service at 1-800-396-4325.

† A non-union is considered to be established when the fracture site shows no visibly progressive signs of healing.

EXOGEN is a registered trademark of Bioventus LLC. Bioventus and the Bioventus logo are trademarks of Bioventus LLC. ©2013 Bioventus LLC