AAPC Certified Professional Coder (CPC) — Question 18

The patient presents to the operating room for repair of a right proximal humerus fracture. The surgeon incises the skin over the fractured bone, the fracture is identified, adjusts the bone, and realigns the fracture. Next, the upper end of the humerus bone is replaced with a synthetic humerus bone implant.
What CPT® and ICD-10-CM codes are reported?

Answer options

Correct answer: C

Explanation

The correct answer is C because code 23616-RT accurately describes the replacement of the upper end of the humerus with a synthetic implant, and S42.201A correctly classifies the fracture type. Options A and B provide incorrect codes for the procedure, and option D misclassifies the fracture type as well.