anesthesia for tenoplasty, elbow to shoulder cpt code

The farmer used the lemon tree's ability to (sexually/asexually) reproduce. In a click, check the DRG's IPPS allowable, length of stay, and more. Several CPT codes (01951-01999, excluding 01996) describe anesthesia services for burn excision/debridement, obstetrical, and other procedures. hbbd``b`$WXE@+{H0[@Cc V1$$Dt % d100 2 ` U1 Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder Anesthesia for open or surgical arthroscopic procedures of the elbow; total elbow replacement Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus Anesthesia for open or surgical . It seems they did away with You would report G9363 as standalone container.style.maxHeight = container.style.minHeight + 'px'; Dr. Frederic A Matsen III and has not been proofread or intended for general A transverse wave on a cord is given by D(x,t)=D(x, t)=D(x,t)= 0.12sin(3.0x15.0t)0.12 \sin (3.0 x-15.0 t)0.12sin(3.0x15.0t), where DDD and xxx are in meters and ttt is in seconds. CPT Code 0695T CPT 0695T describes the body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, including connection, recording, disconnection, review, and report, at the time of implant or replacement for cardiac resynchronization therapy device. (Pathology and laboratory/Hematology and coagulation), 87328 CPT 24340 describes tenodesis of the biceps tendon at the elbow as a separate procedure. SNOMED and SNOMED CT are registered trademarks of the IHTSDO. 4 0 obj Look up Injection then chemotherapy Official Description The CPT book defines CPT code 67515 as: Injection of medication or other substance into Tenons capsule. NHS Digital TRUD service. V8# Ab(zI}%ck|,Zj+b(0nG+_i`tA"3|x< &T?D>)6%\//EN,IA=+",fUuuR7J>a8fcEvpP[t E?y{asw;dve3`^t:#Q/N^k?iy- ~Q9*Xr!%34p` q`3 The Centers for Medicare 38 Medicaid Services CMS has released coding changes and policy updates for the Outpatient Pr Do you have the skills employers are seeking most in 2023 Every profession in the medical field has its unique set of requirements. Lets say, it was during a ESI 62323 and the MD that did the Hello Clinical Information, Read More CPT Code 86336 | Description & Clinical InformationContinue, CPT code 77003 describes an add-on procedure in which the healthcare provider utilizes fluoroscopic guidance to insert a needle or catheter into the spine or the surrounding area to diagnose the extent or cause of a disease or injury, or to treat a disease, with the primary objective of identifying the level and approach for, Read More CPT Code 77003 | Description & Clinical InformationContinue. Could you please suggest if modifier 53 is billable with ASA / Anesthesia codes (00100 - 01999 CPT)? 01232 anesthesia upper 2/3 femur amputation : endstream endobj startxref Information was intended for internal use only and is a Medicine/Hydration, Therapeutic, Prophylactic, Diagnostic Injections, Infusions, and Chemotherapy), Anesthesia for 2nd and 3rd degree burn excision with graft, 01951 For unlisted anesthesia procedures, meaning those procedures or services that do not have a more specific and appropriate CPT code available, the code set includes 01999. Look up Blood test, then panels then obstetric panel fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder. The Current Procedural Terminology (CPT ) code 01714 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Procedures on the Upper Arm and Elbow. Look up Lee and White test 2007 0 obj <>stream ins.style.height = container.attributes.ezah.value + 'px'; Appointments 216.444.2606 Appointments & Locations Request an Appointment Procedure Details MCP Sagittal Band Reconstruction. 3 0 obj CPT 24366 describes arthroplasty of the radial head with an implant. Unlisted anesthesia procedure(s) ICD-10 codes covered if selection criteria are met: M26.601 - M26.69 : Temporomandibular joint disorders: S02.400+ - S02.413+ . look up anesthesia then burn then excision, Anesthesia for tenoplasty, elbow to shoulder, Excision of benign lesion arms or legs over 4.0 cm, 11406 Powered by X-Lab This tool allows you to search SNOMED CT and is designed for educational use only. Frederick A Matsen III. Anesthesia for shoulder spica 4. . Get timely coding industry updates, webinar notices, product discounts and special offers. ins.style.display = 'block'; See more descriptions. CPT Code 01770 CPT 01770 describes anesthesia for procedures on arteries of the upper arm and elbow that are not otherwise specified. (Radiology/Nuclear Medicine), 80055 [includes acromioplasty], Arthroscopic Smooth and Move (with open RCR), diagnostic, with or without synovial biopsy, with removal of loose body or foreign body, Celestone (Betamethasone Injectable Suspension). Append Physical Status Modifiers and Qualifying Circumstance code (s) if applicable. 0 To plug inpatient facility revenue drains, subscribe to DRG Coder today. (Pathology and laboratory/Microbiology), Home health visit for newborn care and assessment, 99502 All materials are copyright protected. var ffid = 1; hAv$\R@4NKFM%Cn^L}/&TkMU1F43{jNcVn"):Kg.8=W.c6uJ"]Y5o 5"c-^G/1I^m70FVQlgne=%HI7 _n#;@_d_](N !dL/I)]GQ;j>ka7B9Yg^-pyk 6Nk=bV0y;= Q;m9%,+yex&0_2u8 table h. professional anesthesia nationwide base units by cpt code page 4 of 6 cpt code cpt code description base units 01220 anesthesia closed procedures upper 2/3 femur : 4.0 . CPT codes 99151-99157 . hb```N=~g`B P{nlO'(Isd``^ACc F!bi p>HiiX,#| -P m$ humerus or elbow Humerus/Elbow-Other CPT Code Defined Ctgy Description 20696 Application of . This material includes SNOMED Clinical Terms Critical care, E/M of the critically ill, 80 minutes, ER dept visit, detailed hx, detained exam and moderate complex decision, Initial comprehensive preventive medicine exam, 54 yrs old, Substance abuse structured screening intervention services 30 minutes, Laparoscopic gastric bypass surgery, Roux-en-Y procedure, 43644 I have a question regarding the QZ mo Hello, CPT Code Description 59857 . of shoulders, please visit (adsbygoogle = window.adsbygoogle || []).push({}); A patient with dementia, in the nursing home visited for less than 30 minutes by a physician. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT code. CPT 24430 describes the repair of a nonunion or malunion of the humerus without using a graft, such as a compression technique. Rules-based maps relating CPT codes to and fromSNOMEDCT clinical concepts. When you bill out codes 99151-99157, you enter this on the professional claim of the provider who performed the servicecorrect? 1998 0 obj <>/Filter/FlateDecode/ID[<23E955A0C9657144967B3AB09FA92D2E>]/Index[1980 28]/Info 1979 0 R/Length 88/Prev 127633/Root 1981 0 R/Size 2008/Type/XRef/W[1 2 1]>>stream container.appendChild(ins); Coagulation time test, Lee and White method. Code Sets; . look up embolectomy then carotid artery, Chapter 17/15 Electronic Health Records 103, Chapter 19 Digestive System Surgery Theory an, Sense organs the eye and ear section 1 & 2, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Sandra Moaney Wright, Terri D Wyman. CPT codes 01916-01933 describe anesthesia for radiological procedures. Codes that are covered may have selection criteria that must be met. Look up newborn care 2359 0 obj <>stream The CPT codes 01916-01936 describe anesthesia for radiological procedures. 01712. American Hospital Association ("AHA"), Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle), Anesthesia for Procedures on the Spine and Spinal Cord, Anesthesia for Procedures on the Upper Abdomen, Anesthesia for Procedures on the Lower Abdomen, Anesthesia for Procedures on the Perineum, Anesthesia for Procedures on the Pelvis (Except Hip), Anesthesia for Procedures on the Upper Leg (Except Knee), GlycoMark Settles False Claims Act Allegations, Ambiguity Surrounding MAO Claim Denials Hampers Fraud Detection, OPPS April 2023 Update Brings Coding and Policy Changes, 5 Skills All Healthcare Business Professionals Should Have, HELP PLEASE! Induced abortion, by 1 or more vaginal suppositories (e.g., prostaglandin) with or without cervical dilation (e.g., laminaria), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed medical evacuation) anesth, surgery of shoulder anesthesia for procedures on clavicle and scapula; nos anesthesia clavicle and scapula; radical surgery anesth, collar bone biopsy shoulderarthritis.blogspot.com for an index of the many blog entries by Dr. Hoping to get some education on which unit value(s) should be submitted when coding Anesthesia CPT (00100-01999 series) True Anesthesia-specific modifiers are required only if the anesthesiologist deems it necessary False RVG Stands for the Relative Value Guide and is published by the AMA False --it is published by the ASA American Society of Anesthesiologists Clinical Information The procedure described by CPT code 01714 involves the services of an anesthesia provider who performs a preoperative evaluation of the patient. CPT codes and descriptions only are copyright 1999 American Medical Association 6 01710 Nerves, muscles , etc, of upper arm 3 + TM 01712 Tenotomy, elbow to shoulder, open 5 + TM 01714 Tenoplasty, elbow to shoulder 5 + TM 01716 Tenodesis, rupt long tendon biceps 5 + TM 01730 Closed procedures humerus & elbow 3 + TM 7U*F !+_ endstream endobj 2360 0 obj <>stream Anesthesia for tenoplasty, elbow to shoulder (procedure) Code System Preferred Concept Name: Anesthesia for tenoplasty, elbow to shoulder (procedure) Concept Status: Published: Concept Status Date: 09/01/2020: Code System Name: SNOMED-CT: Concept Relationships; Concept Details var alS = 1002 % 1000; American Hospital Association ("AHA"), GlycoMark Settles False Claims Act Allegations, Ambiguity Surrounding MAO Claim Denials Hampers Fraud Detection, OPPS April 2023 Update Brings Coding and Policy Changes, 5 Skills All Healthcare Business Professionals Should Have. Look up bilirubin then blood Read More CPT Codes For Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator LeadsContinue, CPT 67515 describes the medical procedure in which the healthcare provider inserts a needle into the Tenons capsule of the eye and administers medication into the same capsule. Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! & This code range includes anesthesia CPT codes. (IHTSDO). compilation for random notes and resources. CPT 24435 describes the repair of a nonunion or malunion of the humerus with an iliac or another autograft, including obtaining the graft. - Anesthesia for tenoplasty, elbow to shoulder (procedure) Hide descriptions. The Centers for Medicare 38 Medicaid Services CMS has released coding changes and policy updates for the Outpatient Pr Do you have the skills employers are seeking most in 2023 Every profession in the medical field has its unique set of requirements. "CPT Copyright American Medical Association. The UW Shoulder Site @ Copyright 2023. It was known as the current procedural terminology (CPT). At the end of the anesthesia procedure codes list, there is a group of other codes, covering services such as anesthesia for nerve blocks and daily hospital management of epidural continuous drug administration. Anesthesia Billing: CPT code 00104, Anesthesia for electroconvulsive therapy anesthesia is limited to one time unit (fifteen minutes). CPT 24362 describes arthroplasty of the elbow with implant and fascia lata ligament reconstruction. CPT 64885 describes the utilization of a healthy nerve segment that is up to 4cm long to replace a damaged portion of a nerve in the head or neck, which is performed by the provider to restore sensory and/or motor functions that have been lost due to nerve damage or severance caused by injury or, Read More CPT Code 64885 | Description & Clinical InformationContinue, CPT 15760 describes the surgical procedure in which the healthcare provider removes a skin graft from the donor site, which can be the external part of the patients ear or nasal ala, and transfers it to the recipient site to cover any defects, followed by suturing the donor area. CPT 24343 describes the repair of the lateral collateral ligament of the elbow using local tissue. CPT 24357 describes percutaneous tenotomy of the elbow, either lateral or medial (e.g., epicondylitis, tennis elbow, golfers elbow). G[P/ Official Description The CPT book defines CPT code 00800 as: "Anesthesia for procedures on lower . Comprehensive history, thorough examination, high complexity, observation. MANIPULATION, ELBOW, UNDER ANESTHESIA: 24301 : MUSCLE OR TENDON TRANSFER, ANY TYPE, UPPER ARM OR ELBOW, SINGLE (EXCLUDING 24320-24331) Muscle or tendon transfer, any type, upper arm or elbow, single (24301) Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon- Brookes type procedure) (24320) Flexor-plasty, elbow, eg, Steindler type advancement) (24330) Flexor . c(01682 has been deleted)b Upper Arm and Elbow 01710 Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified 01712 tenotomy, elbow to shoulder, open 01714 tenoplasty, elbow to shoulder 01716 tenodesis, rupture of long tendon of biceps 01730 Anesthesia for all closed procedures on . ", CPT Code 64885 | Description & Clinical Information, CPT Code 15760 | Description & Clinical Information, CPT Code 86336 | Description & Clinical Information, CPT Code 77003 | Description & Clinical Information, CPT Codes For Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Leads, CPT Code 67515 | Description & Clinical Information. ins.dataset.adChannel = cid; Tenosynovectomy is a procedure performed to surgically excise the tendon sheath (a layer of membrane surrounding the tendon). Capsular shift/capsulorrhaphy for multidirectional instability, Reconstruction of complete shoulder [rotator] cuff avulsion, chronic Side effects from regional anesthesia include headaches, trouble urinating, and allergic reactions, which could be . Treatment of closed elbow dislocation without anesthesia HumerusElbow from DATA DAD-220-X3 at Southern New Hampshire University . CPT 24305 describes tendon lengthening of the upper arm or elbow for each tendon. The RVUs for CPT 90870 have been increased to include payment for anesthesia when performed by the Psychiatrist. var cid = '2759846625'; %%EOF Map-A-Code crosswalk tool easily crosswalks multiple codes between the code sets. 1. We NEVER sell or give your information to anyone. Anesthesia for Procedures on the Spine and Spinal Cord 00700-00797 Anesthesia for Procedures on the Upper Abdomen 00800-00882 Anesthesia for Procedures on the Lower Abdomen 00902-00952 Anesthesia for Procedures on the Perineum 01112-01173 Anesthesia for Procedures on the Pelvis (Except Hip) 01200-01274 2354 0 obj <>/Filter/FlateDecode/ID[<853D5390CDB9034DB06641AC8E667269>]/Index[2341 30]/Info 2340 0 R/Length 73/Prev 102446/Root 2342 0 R/Size 2371/Type/XRef/W[1 2 1]>>stream CPT Code 01714, Anesthesia, Anesthesia for Procedures on the Upper Arm and Elbow - Codify by AAPC. var pid = 'ca-pub-8407705611028189'; 2370 0 obj <>stream CPT 24498 describes the prophylactic treatment of the humeral shaft with nailing, pinning, plating, or wiring, with or without methylmethacrylate. Ko YW, Park JH, Youn S-M, et al. SNOMED CT was originally created by The College of American Pathologists. h|n0_O0, aXn-PJu=h1q}$(y1+Vb/=|@_\7 {*xJUyv;e=S4 78701 public use. 01230 anesthesia open procedures upper 2/3 femur nos : 6.0 . Each worth 5 points unless otherwise noted. Select. uwshoulder.com. The statement. Yes, it seems if you use registry reporting you would use 4559F & 4255F, but I haven't had chance to review any articles describing how this revised measure is reported. cl]HRMs *"< dOTT5KTvmM$u$GKOO}p;i(c?|An=qpdnJ.ntM uk $}q['i,om /X{,2NMkCF}ll Uv ms$#_Dzwb10R2a[?t5p1xhyk^1hvk1?7]%]%MUo3M^E7A|0#W Ask an expertAsk an expertAsk an expertdone loading Back to top Corresponding textbook Understanding Procedural Coding | 4th Edition ISBN-13:9781305178434ISBN:1305178432Authors:Mary Jo BowieRent | Buy This is an alternate ISBN. Talk to your provider about other treatments that might help you before you need a tenotomy. creates a new linked list with the elements in the order 2 3 5 6 7 8, and the object newList points to this list. ins.dataset.adClient = pid; For clinical responsibility, terminology, tips and additional info start codify free trial. ins.id = slotId + '-asloaded'; 00820 5 Anesthesia for procedures on lower posterior abdominal wall 00830 4 Anesthesia for hernia repairs in lower abdomen; not otherwise specified IV PUSHES BILLED WITH MODERATE SEDATION, Coding deep sedation for non-Anesthesiologist, Moderate sedation services 99152 conscious sedation moderate sedation, Modifier 53 usage with ASA / Anesthesia Codes, CANPC Anesthesiology coding essentials book 62 p. (1-19), 99144 Conscious Sedation in Pain Management Office. Problem focused history, problem focused examination, straightforward decision making. CPT 24358 describes tenotomy of the elbow, either lateral or medial, with debridement of soft tissue and/or bone open. Anesthesia Procedure Code Base Units Effective Date: August 14, 2015 . All materials are copyright protected. A new born admitted to the pediatric critical care unit after her birth, physician provided her initial care. View the CPT code's corresponding procedural code and DRG. Search across Medicare Manuals, Transmittals, and more. Which type you need depends on what's causing you pain or other symptoms. Below is a list summarizing the CPT codes for repair, revision, and/or reconstruction procedures on the humerus (upper arm) and elbow. First developed for tennis elbow, percutaneous needle tenotomy is now used to treat pain and injures affecting a variety of tendons and tissues: Elbow tendon injuries, including tennis elbow and golfer's elbow, which happen when the tendons in your elbow are overtaxed, usually due to repetitive motions of the wrist and arm (a) Find the voltage near a 10.0 cm diameter metal sphere that has 8.00 C of excess positive charge on it. Anesthesia for tenotomy, elbow to shoulder, open 5 + ***** ***** U.S. Department of Labor . window.ezoSTPixelAdd(slotId, 'stat_source_id', 44); Billing Guidelines CPT code 68200 should be used, Read More CPT Code 67515 | Description & Clinical InformationContinue, Your email address will not be published. CPT Code 01772 (Pathology and laboratory/Chemistry), 82055 look up Nuclear then kidney Shoulder and Elbow Codes . View any code changes for 2023 as well as historical information on code creation and revision. The American Medical Association (AMA) maintains the Current Procedural Terminology (CPT) code set. 01680 Anesthesia for shoulder cast application, repair or removal. The full SNOMED CT dataset is available in the UK via the Several CPT codes (01951-01999, excluding 01996) describe anesthesia services for burn excision/debridement, obstetrical, and other procedures. CPT 24363 describes arthroplasty of the elbow with prosthetic replacement of the distal humerus and proximal ulnar for a total elbow replacement. Discover how to save hours each week. Effects of comorbidities on the outcomes of manipulation under anesthesia for primary stiff shoulder. CPT 24344 describes the reconstruction of the lateral collateral ligament of the elbow with a tendon graft, including the harvesting of the graft. The CPT book defines CPT code 01714 as: "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder". CPT 24420 describes osteoplasty of the humerus, such as shortening or lengthening, excluding 64876. e0+K!DS(\t&P]x.R7Sg1Ep. The CPT codes 00100-01860 specify "Anesthesia for" followed by a description of a surgical intervention. The provider performs anesthesia services for a procedure on the nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder. Office visit, new patient, detailed history, detailed examination, Low complexity decision. Official Description The CPT book defines, Read More CPT Code 15760 | Description & Clinical InformationContinue, CPT 86336 describes the laboratory procedure in which a lab analyst collects a blood specimen through routine vein puncture from a pregnant patients serum to identify the levels of inhibin A and determine the risk for Down syndrome in the fetus. Also, after the preceding statement executes, list1 and list2 are empty. <> ICD-10-CM to HCC - Map-A-Code . J Shoulder Elbow Surg. The CPT codes 99151 . CPT 24346 describes the reconstruction of the medial collateral ligament of the elbow with a tendon graft, including the harvesting of the graft. NHS Digital TRUD service. Acceptable CPT codes for Orthopaedic Sports Medicine Subspecialty Case List . 2341 0 obj <> endobj CPT CODES 00104 Anesthesia for electroconvulsive therapy 90870 Electroconvulsive therapy (includes necessary monitoring) CPT 24400 describes Osteotomy of the humerus with or without internal fixation. For the following procedure codes; or when the code describes a procedure designated in the Clinical Indications section as not . This tool allows you to search SNOMED CT and is designed for educational use only. Write the definition of the function template mergeLists to implement the operation mergeLists. Name: Anesthesia for tenoplasty, elbow to shoulder (procedure) CPT 24331 describes a flexor-plasty of the elbow, such as a Steindler-type advancement, with extensor advancement. look up Wound then exploration then chest then penetrating, 34001 Enjoy a guided tour of FindACode's many features and tools. Cancel anytime. CPT Code 24330. . Model exponential growth using pennies. Find (a) (a) the wavelength and (b) (b) the energy in electronvolts of the photon emitted when a Rydberg hydrogen atom drops from the n=180 n = 180 level to the n=179 n= 179 level. 3 01682. var ins = document.createElement('ins'); Tenotomy Tenotomy is used to treat issues that affect your tendons throughout your body. If you are looking for medical information about the treatment CPT 24342 describes the reinsertion of a ruptured biceps or triceps tendon distally, with or without a tendon graft. I have a slightly similar question, our critical care providers want to bill for anesthesia codes (00100-01999). CPT 24310 describes an open tenotomy of each tendon from the elbow to the shoulder. 24605 Treatment of closed elbow dislocation; requiring anesthesia Studies have shown that there is less blood loss during the surgery, and fewer complications from blood clotting afterwards. Tenosynovectomy can be . J . The major payer source, of course, is Medicaid. (Surgery/Digestive system). In some cases, a code listed under a body part grouping may be specific to a procedure, such as endoscopic retrograde cholangiopancreatography (ERCP). The Centers for Medicare 038 Medicaid Services CMS issued April 10 the Inpatient Prospective Payment SystemLongTerm Care Hospital IPPSLTCH proposed rule for fiscal year FY 2024. 1. hb```,| eaxM@YFl}DP F!Qak`A)L|Z~XV 21cc a`H\ Look up Roux-en-Y procedure Required fields are marked *. 24305 Tendon lengthening, upper arm or elbow, each tendon 24310 Tenotomy, open, elbow to shoulder, each tendon 24320 . CPT codes 00100-01860 specify "Anesthesia for" followed by a description of a surgical intervention. endstream endobj 2342 0 obj <>/Metadata 52 0 R/Pages 2339 0 R/StructTreeRoot 56 0 R/Type/Catalog/ViewerPreferences 2355 0 R>> endobj 2343 0 obj <>/MediaBox[0 0 612 792]/Parent 2339 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2344 0 obj <>stream The U.S. Department of Health and Human Services Office of Inspector General OIG lately conducted an inv Investigation included 55 million records from 2019. Outpatient kidney imaging with vascular flow. What is the velocity of a particle of cord at x=0.60mx=0.60 \mathrm{~m}x=0.60m as a function of time? ins.style.width = '100%'; finger (e.g., CPT code 26340, 26675) hip (CPT code 27275) pelvis, sacroiliac (CPT code 27198) temporomandibular (CPT code 21073) thumb (CPT code 26340) toe (CPT code 28635, 28665) wrist (CPT code 25259) General Background Manipulation under anesthesia (MUA) is aimed at reducing pain and improving range of motion and is a CPT is a registered trademark of the American Medical Association. Since he We've never billed anesthesia codes before and I would like if someone could give me their opinion or if there is an anesthesia biller reading this that would be great! CPT 24320 describes Tenoplasty, with muscle transfer, with or without free graft, from the elbow to the shoulder, using a single Seddon-Brookes type procedure.

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