OATS Procedure Humeral Head

Question:

Our surgeon will be performing an OATS procedure with allograft on the humeral head. Will you advise on what CPT code we should report?

Answer:

Thanks for your inquiry. There is no CPT code for this procedure. You will use an unlisted code based on the approach.

Report CPT code 24999,Unlisted procedure, humerus or elbowif the procedure is performed as an open procedure.

Report CPT code 29999,Unlisted procedure, arthroscopyif the procedure is performed arthroscopically.

CPT has category I codes for OAT with allograft in the knee (27415, 29867), and these could be considered for comparison.