Multi-region CPT codes

Free osteocutaneous flap transfer with microvascular anastomosis, harvested from a donor site other than the iliac crest, metatarsal, or great toe, to reconstruct combined bone and soft tissue defects.

Add-on code for osteoarticular allograft reconstruction involving the articular surface and contiguous bone, including templating, cutting, shaping, placement, and internal fixation when performed.

Add-on code for manual preparation and intra-articular placement of a drug-delivery device (e.g., antibiotic-cement beads or rods) into a joint during a separately reported primary procedure.

Add-on code for imageless computer-assisted surgical navigation used during musculoskeletal procedures — reported in addition to the primary surgical code.

Application of a body cast extending from the shoulder down to one thigh, covering the trunk and upper leg.

MRI of any upper extremity joint — shoulder, elbow, or wrist — performed without contrast material.

Removal or bivalving of a shoulder spica, hip spica, Minerva jacket, or Risser jacket cast applied by a different provider.

Aspiration and/or injection of an intermediate joint or bursa — such as the wrist, elbow, ankle, acromioclavicular, temporomandibular, or olecranon bursa — performed with real-time ultrasound guidance and permanent image recording and reporting.

Aspiration and/or injection of a major joint or bursa (shoulder, hip, knee, or subacromial bursa) performed without ultrasound guidance.

Removal or bivalving of a full arm or full leg cast, applied by a different provider than the one performing the removal.

Repair of a spica cast, body cast, or jacket cast that has deteriorated, cracked, or loosened and requires reinforcement to maintain proper immobilization.

Noninvasive electrical stimulation applied to promote bone healing without surgical implantation of the stimulating device.

Removal or bivalving of a gauntlet, boot, or body cast — billable only when the removing provider did not apply the original cast.

Single-view radiographic survey covering two or more joints in the same study — billed once regardless of how many joints are imaged.