uawdijnntqw1x1x1
IP : 3.145.157.73
Hostname : ns1.eurodns.top
Kernel : Linux ns1.eurodns.top 4.18.0-553.5.1.lve.1.el7h.x86_64 #1 SMP Fri Jun 14 14:24:52 UTC 2024 x86_64
Disable Function : mail,sendmail,exec,passthru,shell_exec,system,popen,curl_multi_exec,parse_ini_file,show_source,eval,open_base,symlink
OS : Linux
PATH:
/
home
/
sudancam
/
public_html
/
jm
/
..
/
0d544
/
..
/
..
/
public_html
/
.
/
un6xee
/
index
/
cpt-code-for-excision-of-capitellum.php
/
/
<!DOCTYPE html> <html lang="en-US"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title></title> <style id="astra-theme-css-inline-css"> .ast-no-sidebar .entry-content .alignfull {margin-left: calc( -50vw + 50%);margin-right: calc( -50vw + 50%);max-width: 100vw;width: 100vw;}.ast-no-sidebar .entry-content .alignwide {margin-left: calc(-41vw + 50%);margin-right: calc(-41vw + 50%);max-width: unset;width: unset;}.ast-no-sidebar .entry-content .alignfull .alignfull,.ast-no-sidebar .entry-content .alignfull .alignwide,.ast-no-sidebar .entry-content .alignwide .alignfull,.ast-no-sidebar .entry-content .alignwide .alignwide,.ast-no-sidebar .entry-content .wp-block-column .alignfull,.ast-no-sidebar .entry-content .wp-block-column .alignwide{width: 100%;margin-left: auto;margin-right: auto;}.wp-block-gallery,.blocks-gallery-grid {margin: 0;}.wp-block-separator {max-width: 100px;}.,. {max-width: none;}.entry-content .has-2-columns .wp-block-column:first-child {padding-right: 10px;}.entry-content .has-2-columns .wp-block-column:last-child {padding-left: 10px;}@media (max-width: 782px) {.entry-content .wp-block-columns .wp-block-column {flex-basis: 100%;}.entry-content .has-2-columns .wp-block-column:first-child {padding-right: 0;}.entry-content .has-2-columns .wp-block-column:last-child {padding-left: 0;}}body .entry-content .wp-block-latest-posts {margin-left: 0;}body .entry-content .wp-block-latest-posts li {list-style: none;}.ast-no-sidebar .ast-container .entry-content .wp-block-latest-posts {margin-left: 0;}.ast-header-break-point .entry-content .alignwide {margin-left: auto;margin-right: auto;}.entry-content .blocks-gallery-item img {margin-bottom: auto;}.wp-block-pullquote {border-top: 4px solid #555d66;border-bottom: 4px solid #555d66;color: #40464d;}:root{--ast-container-default-xlg-padding:;--ast-container-default-lg-padding:;--ast-container-default-slg-padding:;--ast-container-default-md-padding:;--ast-container-default-sm-padding:;--ast-container-default-xs-padding:;--ast-container-default-xxs-padding:;--ast-code-block-background:#EEEEEE;--ast-comment-inputs-background:#FAFAFA;--ast-normal-container-width:1100px;--ast-narrow-container-width:750px;--ast-blog-title-font-weight:normal;--ast-blog-meta-weight:inherit;}html{font-size:%;}a,.page-title{color:#1e73be;}a:hover,a:focus{color:#dd9933;}body,button,input,select,textarea,.ast-button,.ast-custom-button{font-family:Verdana,Helvetica,Arial,sans-serif;font-weight:400;font-size:15px;font-size:1rem;line-height:var(--ast-body-line-height,);}blockquote{color:#000000;}p,.entry-content p{margin-bottom:;}h1,.entry-content h1,.entry-content h1 a,h2,.entry-content h2,.entry-content h2 a,h3,.entry-content h3,.entry-content h3 a,h4,.entry-content h4,.entry-content h4 a,h5,.entry-content h5,.entry-content h5 a,h6,.entry-content h6,.entry-content h6 a,.site-title,.site-title a{font-weight:normal;}.site-title{font-size:40px;font-size:;display:block;}.site-header .site-description{font-size:15px;font-size:1rem;display:block;}.entry-title{font-size:30px;font-size:2rem;}.archive .ast-article-post .ast-article-inner,.blog .ast-article-post .ast-article-inner,.archive .ast-article-post .ast-article-inner:hover,.blog .ast-article-post .ast-article-inner:hover{overflow:hidden;}h1,.entry-content h1,.entry-content h1 a{font-size:48px;font-size:;line-height:;}h2,.entry-content h2,.entry-content h2 a{font-size:42px;font-size:;line-height:;}h3,.entry-content h3,.entry-content h3 a{font-size:30px;font-size:2rem;line-height:;}h4,.entry-content h4,.entry-content h4 a{font-size:24px;font-size:;line-height:;}h5,.entry-content h5,.entry-content h5 a{font-size:20px;font-size:;line-height:;}h6,.entry-content h6,.entry-content h6 a{font-size:16px;font-size:;line-height:;}::selection{background-color:#1e73be;color:#ffffff;}body,h1,.entry-title a,.entry-content h1,.entry-content h1 a,h2,.entry-content h2,.entry-content h2 a,h3,.entry-content h3,.entry-content h3 a,h4,.entry-content h4,.entry-content h4 a,h5,.entry-content h5,.entry-content h5 a,h6,.entry-content h6,.entry-content h6 a{color:#000000;}.tagcloud a:hover,.tagcloud a:focus,.tagcloud {color:#ffffff;border-color:#1e73be;background-color:#1e73be;}input:focus,input[type="text"]:focus,input[type="email"]:focus,input[type="url"]:focus,input[type="password"]:focus,input[type="reset"]:focus,input[type="search"]:focus,textarea:focus{border-color:#1e73be;}input[type="radio"]:checked,input[type=reset],input[type="checkbox"]:checked,input[type="checkbox"]:hover:checked,input[type="checkbox"]:focus:checked,input[type=range]::-webkit-slider-thumb{border-color:#1e73be;background-color:#1e73be;box-shadow:none;}.site-footer a:hover + .post-count,.site-footer a:focus + .post-count{background:#1e73be;border-color:#1e73be;}.single .nav-links .nav-previous,.single .nav-links .nav-next{color:#1e73be;}.entry-meta,.entry-meta *{line-height:;color:#1e73be;}.entry-meta a:not(.ast-button):hover,.entry-meta a:not(.ast-button):hover *,.entry-meta a:not(.ast-button):focus,.entry-meta a:not(.ast-button):focus *,.page-links > .page-link,.page-links .page-link:hover,.post-navigation a:hover{color:#dd9933;}#cat option,.secondary .calendar_wrap thead a,.secondary .calendar_wrap thead a:visited{color:#1e73be;}.secondary .calendar_wrap #today,.ast-progress-val span{background:#1e73be;}.secondary a:hover + .post-count,.secondary a:focus + .post-count{background:#1e73be;border-color:#1e73be;}.calendar_wrap #today > a{color:#ffffff;}.page-links .page-link,.single .post-navigation a{color:#1e73be;}.ast-search-menu-icon .search-form {padding:0 4px;}.ast-search-menu-icon {padding-right:0;}. {width:0;}.ast-header-search . .search-form,.ast-header-search . .search-field:focus{transition:all ;}.search-form :focus{outline:none;}.widget-title,.widget .wp-block-heading{font-size:21px;font-size:;color:#000000;}#secondary,#secondary button,#secondary input,#secondary select,#secondary textarea{font-size:15px;font-size:1rem;}. a:focus-visible:focus-visible,.astra-search-icon:focus-visible,#close:focus-visible,a:focus-visible,.ast-menu-toggle:focus-visible,.site .skip-link:focus-visible,.wp-block-loginout input:focus-visible,. .wp-block-search__inside-wrapper,.ast-header-navigation-arrow:focus-visible,.woocommerce .wc-proceed-to-checkout > .checkout-button:focus-visible,.woocommerce .woocommerce-MyAccount-navigation ul li a:focus-visible,.ast-orders-table__row .ast-orders-table__cell:focus-visible,.woocommerce .woocommerce-order-details .order-again > .button:focus-visible,.woocommerce .woocommerce-message :focus-visible,.woocommerce #minus_qty:focus-visible,.woocommerce #plus_qty:focus-visible,a#ast-apply-coupon:focus-visible,.woocommerce .woocommerce-info a:focus-visible,.woocommerce .astra-shop-summary-wrap a:focus-visible,.woocommerce :focus-visible,#ast-apply-coupon:focus-visible,.woocommerce-js .woocommerce-mini-cart-item :focus-visible,#close:focus-visible,.:focus-visible,#search_submit:focus,.normal-search:focus-visible{outline-style:dotted;outline-color:inherit;outline-width:thin;}input:focus,input[type="text"]:focus,input[type="email"]:focus,input[type="url"]:focus,input[type="password"]:focus,input[type="reset"]:focus,input[type="search"]:focus,input[type="number"]:focus,textarea:focus,.wp-block-search__input:focus,[data-section="section-header-mobile-trigger"] .ast-button-wrap .ast-mobile-menu-trigger-minimal:focus,. .menu-toggle-close:focus,.woocommerce-ordering :focus,#ast-scroll-top:focus,#coupon_code:focus,.woocommerce-page #comment:focus,.woocommerce #reviews #respond input#submit:focus,.woocommerce :focus,.woocommerce .:focus,.woocommerce .woocommerce-cart-form button:focus,.woocommerce .woocommerce-cart-form__cart-item .quantity .qty:focus,.woocommerce .woocommerce-billing-fields .woocommerce-billing-fields__field-wrapper .woocommerce-input-wrapper > .input-text:focus,.woocommerce #order_comments:focus,.woocommerce #place_order:focus,.woocommerce .woocommerce-address-fields .woocommerce-address-fields__field-wrapper .woocommerce-input-wrapper > .input-text:focus,.woocommerce .woocommerce-MyAccount-content form button:focus,.woocommerce .woocommerce-MyAccount-content .woocommerce-EditAccountForm .woocommerce-form-row .:focus,.woocommerce .ast-woocommerce-container .woocommerce-pagination li a:focus,body #content .woocommerce form .form-row .select2-container--default .select2-selection--single:focus,#ast-coupon-code:focus,. .quantity input[type=number]:focus,.woocommerce-js .woocommerce-mini-cart-item .quantity input[type=number]:focus,.woocommerce p#ast-coupon-trigger:focus{border-style:dotted;border-color:inherit;border-width:thin;}input{outline:none;}.main-header-menu .menu-link,.ast-header-custom-item a{color:#000000;}.main-header-menu .menu-item:hover > .menu-link,.main-header-menu .menu-item:hover > .ast-menu-toggle,.main-header-menu .ast-masthead-custom-menu-items a:hover,.main-header-menu . > .menu-link,.main-header-menu . > .ast-menu-toggle,.main-header-menu .current-menu-item > .menu-link,.main-header-menu .current-menu-ancestor > .menu-link,.main-header-menu .current-menu-item > .ast-menu-toggle,.main-header-menu .current-menu-ancestor > .ast-menu-toggle{color:#1e73be;}.header-main-layout-3 .ast-main-header-bar-alignment{margin-right:auto;}.header-main-layout-2 .site-header-section-left .ast-site-identity{text-align:left;}body .ast-oembed-container *{position:absolute;top:0;width:100%;height:100%;left:0;}body .wp-block-embed-pocket-casts .ast-oembed-container *{position:unset;}.ast-header-break-point .{background:transparent;color:#222222;}.ast-header-break-point .{background:transparent;border:1px solid #222222;color:#222222;}.ast-header-break-point .{background:#222222;color:#ffffff;}.ast-single-post-featured-section + article {margin-top: 2em;}.site-content .ast-single-post-featured-section img {width: 100%;overflow: hidden;object-fit: cover;}.site > .ast-single-related-posts-container {margin-top: 0;}@media (min-width: 769px) {.ast-desktop .ast-container--narrow {max-width: var(--ast-narrow-container-width);margin: 0 auto;}}#secondary {margin: 4em 0 ;word-break: break-word;line-height: 2;}#secondary li {margin-bottom: ;}#secondary li:last-child {margin-bottom: 0;}@media (max-width: 768px) {.js_active . #secondary {margin-top: ;}}. #secondary .widget {background-color: #fff;padding: 2em;margin-bottom: 2em;}@media (min-width: 993px) {.ast-left-sidebar #secondary {padding-right: 60px;}.ast-right-sidebar #secondary {padding-left: 60px;}}@media (max-width: 993px) {.ast-right-sidebar #secondary {padding-left: 30px;}.ast-left-sidebar #secondary {padding-right: 30px;}}.ast-small-footer > .ast-footer-overlay{background-color:#222222;;}.footer-adv .footer-adv-overlay{border-top-style:solid;border-top-color:#7a7a7a;}.{justify-content:center;}@media (max-width:782px){.entry-content .wp-block-columns .wp-block-column{margin-left:0px;}}.{margin-left:auto;margin-right:auto;}.{margin-left:auto;margin-right:auto;}.wp-block-buttons . .,.ast-outline-button,.wp-block-uagb-buttons-child .{border-color:#222222;border-top-width:2px;border-right-width:2px;border-bottom-width:2px;border-left-width:2px;font-family:inherit;font-weight:inherit;line-height:1em;border-top-left-radius:5px;border-top-right-radius:5px;border-bottom-right-radius:5px;border-bottom-left-radius:5px;}. .wp-block-button__link:hover,.wp-block-buttons . .wp-block-button__link:focus,.wp-block-buttons . > .wp-block-button__link:not(.has-text-color):hover,.wp-block-buttons .:not(.has-text-color):hover,.ast-outline-button:hover,.ast-outline-button:focus,.wp-block-uagb-buttons-child .:hover,.wp-block-uagb-buttons-child .:focus{background-color:#222222;}.wp-block-button .:not(.has-background),.>.:not(.has-background),.ast-outline-button{background-color:#222222;}.entry-content[ast-blocks-layout] > figure{margin-bottom:1em;}@media (max-width:768px){.ast-separate-container #primary,.ast-separate-container #secondary{padding: 0;}#primary,#secondary{padding: 0;margin:0;}.ast-left-sidebar #content > .ast-container{display:flex;flex-direction:column-reverse;width:100%;}.ast-separate-container .ast-article-post,.ast-separate-container .ast-article-single{padding: ;}.ast-author-box {margin:20px 0 0 0;}}@media (max-width:768px){#{padding-top:0;}. #secondary{padding-left:1em;padding-right:1em;}. #secondary{padding-left:0;padding-right:0;}.ast-page-builder-template .entry-header #secondary,.ast-page-builder-template #secondary{margin-top:;}}@media (max-width:768px){.ast-right-sidebar #primary{padding-right:0;}. #secondary,. #secondary{padding-right:20px;padding-left:20px;}.ast-right-sidebar #secondary,.ast-left-sidebar #primary{padding-left:0;}.ast-left-sidebar #secondary{padding-right:0;}}@media (min-width:769px){. #primary,. #primary{border:0;}. #primary{margin-bottom:4em;}}@media (min-width:769px){.ast-right-sidebar #primary{border-right:1px solid var(--ast-border-color);}.ast-left-sidebar #primary{border-left:1px solid var(--ast-border-color);}.ast-right-sidebar #secondary{border-left:1px solid var(--ast-border-color);margin-left:-1px;}.ast-left-sidebar #secondary{border-right:1px solid var(--ast-border-color);margin-right:-1px;}. #secondary{padding-left:30px;padding-right:0;}. #secondary{padding-right:30px;padding-left:0;}. #secondary,. #secondary{border:0;margin-left:auto;margin-right:auto;}. #secondary .widget:last-child{margin-bottom:0;}}.menu-toggle,button,.ast-button,.ast-custom-button,.button,input#submit,input[type="button"],input[type="submit"],input[type="reset"]{color:#ffffff;border-color:#222222;background-color:#222222;border-top-left-radius:5px;border-top-right-radius:5px;border-bottom-right-radius:5px;border-bottom-left-radius:5px;padding-top:5px;padding-right:40px;padding-bottom:5px;padding-left:40px;font-family:inherit;font-weight:inherit;}button:focus,.menu-toggle:hover,button:hover,.ast-button:hover,.ast-custom-button:hover .button:hover,.ast-custom-button:hover,input[type=reset]:hover,input[type=reset]:focus,input#submit:hover,input#submit:focus,input[type="button"]:hover,input[type="button"]:focus,input[type="submit"]:hover,input[type="submit"]:focus{color:#ffffff;background-color:#222222;border-color:#222222;}@media (max-width:768px){.ast-mobile-header-stack .main-header-bar .ast-search-menu-icon{display:inline-block;}. .ast-mobile-header-stack .main-header-bar .ast-search-icon{margin:0;}.ast-comment-avatar-wrap img{max-width:;}.ast-comment-meta{padding:0 ;}.ast-separate-container .ast-comment-list {padding: ;}.ast-separate-container .comment-respond{padding:2em ;}}@media (min-width:544px){.ast-container{max-width:100%;}}@media (max-width:544px){.ast-separate-container .ast-article-post,.ast-separate-container .ast-article-single,.ast-separate-container .comments-title,.ast-separate-container .ast-archive-description{padding: 1em;}.ast-separate-container #content .ast-container{padding-left:;padding-right:;}.ast-separate-container .ast-comment-list .bypostauthor{padding:.5em;}. .search-field{width:170px;}.ast-separate-container #secondary{padding-top:0;}. #secondary .widget{margin-bottom:;padding-left:1em;padding-right:1em;}.site-branding img,.site-header .site-logo-img .custom-logo-link img{max-width:100%;}}body,.ast-separate-container{background-color:#3a3a3a;;}. .entry-content .alignfull {margin-left: ;margin-right: ;width: auto;}@media (max-width: 1200px) {. .entry-content .alignfull {margin-left: ;margin-right: ;}}@media (max-width: 768px) {. .entry-content .alignfull {margin-left: ;margin-right: ;}}@media (max-width: 544px) {. .entry-content .alignfull {margin-left: -1em;margin-right: -1em;}}. .entry-content .alignwide {margin-left: -20px;margin-right: -20px;}. .entry-content .wp-block-column .alignfull,. .entry-content .wp-block-column .alignwide {margin-left: auto;margin-right: auto;width: 100%;}@media (max-width:768px){.site-title{display:block;}.site-header .site-description{display:block;}h1,.entry-content h1,.entry-content h1 a{font-size:30px;}h2,.entry-content h2,.entry-content h2 a{font-size:25px;}h3,.entry-content h3,.entry-content h3 a{font-size:20px;}}@media (max-width:544px){.site-title{display:block;}.site-header .site-description{display:block;}h1,.entry-content h1,.entry-content h1 a{font-size:30px;}h2,.entry-content h2,.entry-content h2 a{font-size:25px;}h3,.entry-content h3,.entry-content h3 a{font-size:20px;}}@media (max-width:768px){html{font-size:85.5%;}}@media (max-width:544px){html{font-size:85.5%;}}@media (min-width:769px){.ast-container{max-width:1140px;}}@font-face {font-family: "Astra";src: url() format("woff"),url() format("truetype"),url(#astra) format("svg");font-weight: normal;font-style: normal;font-display: fallback;}@media (max-width:921px) {.main-header-bar .main-header-bar-navigation{display:none;}}.ast-desktop . .sub-menu,.ast-desktop . .astra-full-megamenu-wrapper{border-color:#eaeaea;}.ast-desktop . .sub-menu{border-top-width:1px;border-right-width:1px;border-left-width:1px;border-bottom-width:1px;border-style:solid;}.ast-desktop . .sub-menu .sub-menu{top:-1px;}.ast-desktop . .sub-menu .menu-link,.ast-desktop . .children .menu-link{border-bottom-width:1px;border-style:solid;border-color:#eaeaea;}@media (min-width:769px){.main-header-menu .sub-menu .:hover > .sub-menu,.main-header-menu .sub-menu . > .sub-menu{margin-left:-2px;}}.ast-small-footer{border-top-style:solid;border-top-width:1px;border-top-color:#7a7a7a;}.ast-small-footer-wrap{text-align:center;}.site .comments-area{padding-bottom:3em;}. .main-header-bar .main-header-bar-navigation .ast-search-icon {display: none;}. .main-header-bar .ast-search-menu-icon .search-form {padding: 0;display: block;overflow: hidden;}.ast-header-break-point .ast-header-custom-item .widget:last-child {margin-bottom: 1em;}.ast-header-custom-item .widget {margin: ;display: inline-block;vertical-align: middle;}.ast-header-custom-item .widget p {margin-bottom: 0;}.ast-header-custom-item .widget li {width: auto;}.ast-header-custom-item-inside .button-custom-menu-item .menu-link {display: none;}. .button-custom-menu-item .ast-custom-button-link {display: none;}. .button-custom-menu-item .menu-link {display: block;}. .main-header-bar .ast-search-icon {margin-right: 1em;}. .main-header-bar .ast-search-menu-icon .search-field,. .main-header-bar . .search-field {width: 100%;padding-right: ;}. .main-header-bar .ast-search-menu-icon .search-submit {display: block;position: absolute;height: 100%;top: 0;right: 0;padding: 0 1em;border-radius: 0;}.ast-header-break-point .ast-header-custom-item .ast-masthead-custom-menu-items {padding-left: 20px;padding-right: 20px;margin-bottom: 1em;margin-top: 1em;}. .button-custom-menu-item {padding-left: 0;padding-right: 0;margin-top: 0;margin-bottom: 0;}.astra-icon-down_arrow::after {content: "\e900";font-family: Astra;}.astra-icon-close::after {content: "\e5cd";font-family: Astra;}.astra-icon-drag_handle::after {content: "\e25d";font-family: Astra;}.astra-icon-format_align_justify::after {content: "\e235";font-family: Astra;}.astra-icon-menu::after {content: "\e5d2";font-family: Astra;}.astra-icon-reorder::after {content: "\e8fe";font-family: Astra;}.astra-icon-search::after {content: "\e8b6";font-family: Astra;}.astra-icon-zoom_in::after {content: "\e56b";font-family: Astra;}.astra-icon-check-circle::after {content: "\e901";font-family: Astra;}.astra-icon-shopping-cart::after {content: "\f07a";font-family: Astra;}.astra-icon-shopping-bag::after {content: "\f290";font-family: Astra;}.astra-icon-shopping-basket::after {content: "\f291";font-family: Astra;}.astra-icon-circle-o::after {content: "\e903";font-family: Astra;}.astra-icon-certificate::after {content: "\e902";font-family: Astra;}blockquote {padding: ;}:root .has-ast-global-color-0-color{color:var(--ast-global-color-0);}:root .has-ast-global-color-0-background-color{background-color:var(--ast-global-color-0);}:root .wp-block-button .has-ast-global-color-0-color{color:var(--ast-global-color-0);}:root .wp-block-button .has-ast-global-color-0-background-color{background-color:var(--ast-global-color-0);}:root .has-ast-global-color-1-color{color:var(--ast-global-color-1);}:root .has-ast-global-color-1-background-color{background-color:var(--ast-global-color-1);}:root .wp-block-button .has-ast-global-color-1-color{color:var(--ast-global-color-1);}:root .wp-block-button .has-ast-global-color-1-background-color{background-color:var(--ast-global-color-1);}:root .has-ast-global-color-2-color{color:var(--ast-global-color-2);}:root .has-ast-global-color-2-background-color{background-color:var(--ast-global-color-2);}:root .wp-block-button .has-ast-global-color-2-color{color:var(--ast-global-color-2);}:root .wp-block-button .has-ast-global-color-2-background-color{background-color:var(--ast-global-color-2);}:root .has-ast-global-color-3-color{color:var(--ast-global-color-3);}:root .has-ast-global-color-3-background-color{background-color:var(--ast-global-color-3);}:root .wp-block-button .has-ast-global-color-3-color{color:var(--ast-global-color-3);}:root .wp-block-button .has-ast-global-color-3-background-color{background-color:var(--ast-global-color-3);}:root .has-ast-global-color-4-color{color:var(--ast-global-color-4);}:root .has-ast-global-color-4-background-color{background-color:var(--ast-global-color-4);}:root .wp-block-button .has-ast-global-color-4-color{color:var(--ast-global-color-4);}:root .wp-block-button .has-ast-global-color-4-background-color{background-color:var(--ast-global-color-4);}:root .has-ast-global-color-5-color{color:var(--ast-global-color-5);}:root .has-ast-global-color-5-background-color{background-color:var(--ast-global-color-5);}:root .wp-block-button .has-ast-global-color-5-color{color:var(--ast-global-color-5);}:root .wp-block-button .has-ast-global-color-5-background-color{background-color:var(--ast-global-color-5);}:root .has-ast-global-color-6-color{color:var(--ast-global-color-6);}:root .has-ast-global-color-6-background-color{background-color:var(--ast-global-color-6);}:root .wp-block-button .has-ast-global-color-6-color{color:var(--ast-global-color-6);}:root .wp-block-button .has-ast-global-color-6-background-color{background-color:var(--ast-global-color-6);}:root .has-ast-global-color-7-color{color:var(--ast-global-color-7);}:root .has-ast-global-color-7-background-color{background-color:var(--ast-global-color-7);}:root .wp-block-button .has-ast-global-color-7-color{color:var(--ast-global-color-7);}:root .wp-block-button .has-ast-global-color-7-background-color{background-color:var(--ast-global-color-7);}:root .has-ast-global-color-8-color{color:var(--ast-global-color-8);}:root .has-ast-global-color-8-background-color{background-color:var(--ast-global-color-8);}:root .wp-block-button .has-ast-global-color-8-color{color:var(--ast-global-color-8);}:root .wp-block-button .has-ast-global-color-8-background-color{background-color:var(--ast-global-color-8);}:root{--ast-global-color-0:#0170B9;--ast-global-color-1:#3a3a3a;--ast-global-color-2:#3a3a3a;--ast-global-color-3:#4B4F58;--ast-global-color-4:#F5F5F5;--ast-global-color-5:#FFFFFF;--ast-global-color-6:#E5E5E5;--ast-global-color-7:#424242;--ast-global-color-8:#000000;}:root {--ast-border-color : #dddddd;}#masthead .ast-container,.ast-header-breadcrumb .ast-container{max-width:100%;padding-left:35px;padding-right:35px;}@media (max-width:921px){#masthead .ast-container,.ast-header-breadcrumb .ast-container{padding-left:20px;padding-right:20px;}}. .main-header-bar .main-header-bar-navigation .ast-search-icon {display: none;}. .main-header-bar .ast-search-menu-icon .search-form {padding: 0;display: block;overflow: hidden;}.ast-header-break-point .ast-header-custom-item .widget:last-child {margin-bottom: 1em;}.ast-header-custom-item .widget {margin: ;display: inline-block;vertical-align: middle;}.ast-header-custom-item .widget p {margin-bottom: 0;}.ast-header-custom-item .widget li {width: auto;}.ast-header-custom-item-inside .button-custom-menu-item .menu-link {display: none;}. .button-custom-menu-item .ast-custom-button-link {display: none;}. .button-custom-menu-item .menu-link {display: block;}. .main-header-bar .ast-search-icon {margin-right: 1em;}. .main-header-bar .ast-search-menu-icon .search-field,. .main-header-bar . .search-field {width: 100%;padding-right: ;}. .main-header-bar .ast-search-menu-icon .search-submit {display: block;position: absolute;height: 100%;top: 0;right: 0;padding: 0 1em;border-radius: 0;}.ast-header-break-point .ast-header-custom-item .ast-masthead-custom-menu-items {padding-left: 20px;padding-right: 20px;margin-bottom: 1em;margin-top: 1em;}. .button-custom-menu-item {padding-left: 0;padding-right: 0;margin-top: 0;margin-bottom: 0;}.astra-icon-down_arrow::after {content: "\e900";font-family: Astra;}.astra-icon-close::after {content: "\e5cd";font-family: Astra;}.astra-icon-drag_handle::after {content: "\e25d";font-family: Astra;}.astra-icon-format_align_justify::after {content: "\e235";font-family: Astra;}.astra-icon-menu::after {content: "\e5d2";font-family: Astra;}.astra-icon-reorder::after {content: "\e8fe";font-family: Astra;}.astra-icon-search::after {content: "\e8b6";font-family: Astra;}.astra-icon-zoom_in::after {content: "\e56b";font-family: Astra;}.astra-icon-check-circle::after {content: "\e901";font-family: Astra;}.astra-icon-shopping-cart::after {content: "\f07a";font-family: Astra;}.astra-icon-shopping-bag::after {content: "\f290";font-family: Astra;}.astra-icon-shopping-basket::after {content: "\f291";font-family: Astra;}.astra-icon-circle-o::after {content: "\e903";font-family: Astra;}.astra-icon-certificate::after {content: "\e902";font-family: Astra;}blockquote {padding: ;}:root .has-ast-global-color-0-color{color:var(--ast-global-color-0);}:root .has-ast-global-color-0-background-color{background-color:var(--ast-global-color-0);}:root .wp-block-button .has-ast-global-color-0-color{color:var(--ast-global-color-0);}:root .wp-block-button .has-ast-global-color-0-background-color{background-color:var(--ast-global-color-0);}:root .has-ast-global-color-1-color{color:var(--ast-global-color-1);}:root .has-ast-global-color-1-background-color{background-color:var(--ast-global-color-1);}:root .wp-block-button .has-ast-global-color-1-color{color:var(--ast-global-color-1);}:root .wp-block-button .has-ast-global-color-1-background-color{background-color:var(--ast-global-color-1);}:root .has-ast-global-color-2-color{color:var(--ast-global-color-2);}:root .has-ast-global-color-2-background-color{background-color:var(--ast-global-color-2);}:root .wp-block-button .has-ast-global-color-2-color{color:var(--ast-global-color-2);}:root .wp-block-button .has-ast-global-color-2-background-color{background-color:var(--ast-global-color-2);}:root .has-ast-global-color-3-color{color:var(--ast-global-color-3);}:root .has-ast-global-color-3-background-color{background-color:var(--ast-global-color-3);}:root .wp-block-button .has-ast-global-color-3-color{color:var(--ast-global-color-3);}:root .wp-block-button .has-ast-global-color-3-background-color{background-color:var(--ast-global-color-3);}:root .has-ast-global-color-4-color{color:var(--ast-global-color-4);}:root .has-ast-global-color-4-background-color{background-color:var(--ast-global-color-4);}:root .wp-block-button .has-ast-global-color-4-color{color:var(--ast-global-color-4);}:root .wp-block-button .has-ast-global-color-4-background-color{background-color:var(--ast-global-color-4);}:root .has-ast-global-color-5-color{color:var(--ast-global-color-5);}:root .has-ast-global-color-5-background-color{background-color:var(--ast-global-color-5);}:root .wp-block-button .has-ast-global-color-5-color{color:var(--ast-global-color-5);}:root .wp-block-button .has-ast-global-color-5-background-color{background-color:var(--ast-global-color-5);}:root .has-ast-global-color-6-color{color:var(--ast-global-color-6);}:root .has-ast-global-color-6-background-color{background-color:var(--ast-global-color-6);}:root .wp-block-button .has-ast-global-color-6-color{color:var(--ast-global-color-6);}:root .wp-block-button .has-ast-global-color-6-background-color{background-color:var(--ast-global-color-6);}:root .has-ast-global-color-7-color{color:var(--ast-global-color-7);}:root .has-ast-global-color-7-background-color{background-color:var(--ast-global-color-7);}:root .wp-block-button .has-ast-global-color-7-color{color:var(--ast-global-color-7);}:root .wp-block-button .has-ast-global-color-7-background-color{background-color:var(--ast-global-color-7);}:root .has-ast-global-color-8-color{color:var(--ast-global-color-8);}:root .has-ast-global-color-8-background-color{background-color:var(--ast-global-color-8);}:root .wp-block-button .has-ast-global-color-8-color{color:var(--ast-global-color-8);}:root .wp-block-button .has-ast-global-color-8-background-color{background-color:var(--ast-global-color-8);}:root{--ast-global-color-0:#0170B9;--ast-global-color-1:#3a3a3a;--ast-global-color-2:#3a3a3a;--ast-global-color-3:#4B4F58;--ast-global-color-4:#F5F5F5;--ast-global-color-5:#FFFFFF;--ast-global-color-6:#E5E5E5;--ast-global-color-7:#424242;--ast-global-color-8:#000000;}:root {--ast-border-color : #dddddd;}#masthead .ast-container,.ast-header-breadcrumb .ast-container{max-width:100%;padding-left:35px;padding-right:35px;}@media (max-width:921px){#masthead .ast-container,.ast-header-breadcrumb .ast-container{padding-left:20px;padding-right:20px;}}.ast-single-entry-banner {-js-display: flex;display: flex;flex-direction: column;justify-content: center;text-align: center;position: relative;background: #eeeeee;}.ast-single-entry-banner[data-banner-layout="layout-1"] {max-width: 1100px;background: inherit;padding: 20px 0;}.ast-single-entry-banner[data-banner-width-type="custom"] {margin: 0 auto;width: 100%;}.ast-single-entry-banner + .site-content .entry-header {margin-bottom: 0;}.site .ast-author-avatar {--ast-author-avatar-size: ;} {text-decoration: underline;}.ast-container > .ast-terms-link {position: relative;display: block;} {padding: 4px 8px;border-radius: 3px;font-size: inherit;} > *:not(:last-child){margin-bottom:10px;}.ast-archive-entry-banner {-js-display: flex;display: flex;flex-direction: column;justify-content: center;text-align: center;position: relative;background: #eeeeee;}.ast-archive-entry-banner[data-banner-width-type="custom"] {margin: 0 auto;width: 100%;}.ast-archive-entry-banner[data-banner-layout="layout-1"] {background: inherit;padding: 20px 0;text-align: left;} .ast-archive-description{max-width:1100px;width:100%;text-align:left;padding-top:3em;padding-right:3em;padding-bottom:3em;padding-left:3em;} .ast-archive-description .ast-archive-title, .ast-archive-description .ast-archive-title *{font-size:40px;font-size:;text-transform:capitalize;} .ast-archive-description > *:not(:last-child){margin-bottom:10px;}@media (max-width:768px){ .ast-archive-description{text-align:left;}}@media (max-width:544px){ .ast-archive-description{text-align:left;}}.ast-breadcrumbs .trail-browse,.ast-breadcrumbs .trail-items,.ast-breadcrumbs .trail-items li{display:inline-block;margin:0;padding:0;border:none;background:inherit;text-indent:0;text-decoration:none;}.ast-breadcrumbs .trail-browse{font-size:inherit;font-style:inherit;font-weight:inherit;color:inherit;}.ast-breadcrumbs .trail-items{list-style:none;}.trail-items li::after{padding:0 ;content:"\00bb";}.trail-items li:last-of-type::after{display:none;}h1,.entry-content h1,h2,.entry-content h2,h3,.entry-content h3,h4,.entry-content h4,h5,.entry-content h5,h6,.entry-content h6{color:var(--ast-global-color-2);}.ast-header-break-point .main-header-bar{border-bottom-width:0px;border-bottom-color:#000000;}@media (min-width:769px){.main-header-bar{border-bottom-width:0px;border-bottom-color:#000000;}}@media (min-width:769px){#primary{width:70%;}#secondary{width:30%;}}.ast-flex{-webkit-align-content:center;-ms-flex-line-pack:center;align-content:center;-webkit-box-align:center;-webkit-align-items:center;-moz-box-align:center;-ms-flex-align:center;align-items:center;}.main-header-bar{padding:1em 0;}.ast-site-identity{padding:0;}.header-main-layout-1 ., .header-main-layout-3 .{-webkit-align-content:center;-ms-flex-line-pack:center;align-content:center;-webkit-box-align:center;-webkit-align-items:center;-moz-box-align:center;-ms-flex-align:center;align-items:center;}.header-main-layout-1 ., .header-main-layout-3 .{-webkit-align-content:center;-ms-flex-line-pack:center;align-content:center;-webkit-box-align:center;-webkit-align-items:center;-moz-box-align:center;-ms-flex-align:center;align-items:center;}.main-header-menu .sub-menu . > .menu-link:after{position:absolute;right:1em;top:50%;transform:translate(0,-50%) rotate(270deg);}.ast-header-break-point .main-header-bar .main-header-bar-navigation .page_item_has_children > .ast-menu-toggle::before, .ast-header-break-point .main-header-bar .main-header-bar-navigation .menu-item-has-children > .ast-menu-toggle::before, .ast-mobile-popup-drawer .main-header-bar-navigation .menu-item-has-children>.ast-menu-toggle::before, .ast-header-break-point .ast-mobile-header-wrap .main-header-bar-navigation .menu-item-has-children > .ast-menu-toggle::before{font-weight:bold;content:"\e900";font-family:Astra;text-decoration:inherit;display:inline-block;}.ast-header-break-point .main-navigation .menu-item .menu-link:before{content:"\e900";font-family:Astra;font-size:.65em;text-decoration:inherit;display:inline-block;transform:translate(0, -2px) rotateZ(270deg);margin-right:5px;}.widget_search .search-form:after{font-family:Astra;font-size:;font-weight:normal;content:"\e8b6";position:absolute;top:50%;right:15px;transform:translate(0, -50%);}.astra-search-icon::before{content:"\e8b6";font-family:Astra;font-style:normal;font-weight:normal;text-decoration:inherit;text-align:center;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;z-index:3;}.main-header-bar .main-header-bar-navigation .page_item_has_children > a:after, .main-header-bar .main-header-bar-navigation .menu-item-has-children > a:after, .menu-item-has-children .ast-header-navigation-arrow:after{content:"\e900";display:inline-block;font-family:Astra;font-size:.6rem;font-weight:bold;text-rendering:auto;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;margin-left:10px;line-height:normal;}.menu-item-has-children .sub-menu .ast-header-navigation-arrow:after{margin-left:0;}.ast-mobile-popup-drawer .main-header-bar-navigation .ast-submenu-expanded>.ast-menu-toggle::before{transform:rotateX(180deg);}.ast-header-break-point .main-header-bar-navigation .menu-item-has-children > .menu-link:after{display:none;}@media (min-width:769px){.ast-builder-menu .main-navigation > ul > li:last-child a{margin-right:0;}}.ast-separate-container .ast-article-inner{background-color:transparent;background-image:none;}.ast-separate-container .ast-article-post{background-color:var(--ast-global-color-5);;}@media (max-width:768px){.ast-separate-container .ast-article-post{background-color:var(--ast-global-color-5);;}}@media (max-width:544px){.ast-separate-container .ast-article-post{background-color:var(--ast-global-color-5);;}}.ast-separate-container .ast-article-single:not(.ast-related-post), . .ast-woocommerce-container, .ast-separate-container .error-404, .ast-separate-container .no-results, . .ast-author-meta, .ast-separate-container .related-posts-title-wrapper,.ast-separate-container .comments-count-wrapper, . .site-content,. .site-content, .ast-separate-container .ast-archive-description, .ast-separate-container .comments-area .comment-respond, .ast-separate-container .comments-area .ast-comment-list li, .ast-separate-container .comments-area .comments-title{background-color:var(--ast-global-color-5);;}@media (max-width:768px){.ast-separate-container .ast-article-single:not(.ast-related-post), . .ast-woocommerce-container, .ast-separate-container .error-404, .ast-separate-container .no-results, . .ast-author-meta, .ast-separate-container .related-posts-title-wrapper,.ast-separate-container .comments-count-wrapper, . .site-content,. .site-content, .ast-separate-container .ast-archive-description{background-color:var(--ast-global-color-5);;}}@media (max-width:544px){.ast-separate-container .ast-article-single:not(.ast-related-post), . .ast-woocommerce-container, .ast-separate-container .error-404, .ast-separate-container .no-results, . .ast-author-meta, .ast-separate-container .related-posts-title-wrapper,.ast-separate-container .comments-count-wrapper, . .site-content,. .site-content, .ast-separate-container .ast-archive-description{background-color:var(--ast-global-color-5);;}}. #secondary .widget{background-color:var(--ast-global-color-5);;}@media (max-width:768px){. #secondary .widget{background-color:var(--ast-global-color-5);;}}@media (max-width:544px){. #secondary .widget{background-color:var(--ast-global-color-5);;}} </style> <style id="global-styles-inline-css"> body{--wp--preset--color--black: #000000;--wp--preset--color--cyan-bluish-gray: #abb8c3;--wp--preset--color--white: #ffffff;--wp--preset--color--pale-pink: #f78da7;--wp--preset--color--vivid-red: #cf2e2e;--wp--preset--color--luminous-vivid-orange: #ff6900;--wp--preset--color--luminous-vivid-amber: #fcb900;--wp--preset--color--light-green-cyan: #7bdcb5;--wp--preset--color--vivid-green-cyan: #00d084;--wp--preset--color--pale-cyan-blue: #8ed1fc;--wp--preset--color--vivid-cyan-blue: #0693e3;--wp--preset--color--vivid-purple: #9b51e0;--wp--preset--color--ast-global-color-0: var(--ast-global-color-0);--wp--preset--color--ast-global-color-1: var(--ast-global-color-1);--wp--preset--color--ast-global-color-2: var(--ast-global-color-2);--wp--preset--color--ast-global-color-3: var(--ast-global-color-3);--wp--preset--color--ast-global-color-4: var(--ast-global-color-4);--wp--preset--color--ast-global-color-5: var(--ast-global-color-5);--wp--preset--color--ast-global-color-6: var(--ast-global-color-6);--wp--preset--color--ast-global-color-7: var(--ast-global-color-7);--wp--preset--color--ast-global-color-8: var(--ast-global-color-8);--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple: linear-gradient(135deg,rgba(6,147,227,1) 0%,rgb(155,81,224) 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan: linear-gradient(135deg,rgb(122,220,180) 0%,rgb(0,208,130) 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange: linear-gradient(135deg,rgba(252,185,0,1) 0%,rgba(255,105,0,1) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red: linear-gradient(135deg,rgba(255,105,0,1) 0%,rgb(207,46,46) 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray: linear-gradient(135deg,rgb(238,238,238) 0%,rgb(169,184,195) 100%);--wp--preset--gradient--cool-to-warm-spectrum: linear-gradient(135deg,rgb(74,234,220) 0%,rgb(151,120,209) 20%,rgb(207,42,186) 40%,rgb(238,44,130) 60%,rgb(251,105,98) 80%,rgb(254,248,76) 100%);--wp--preset--gradient--blush-light-purple: linear-gradient(135deg,rgb(255,206,236) 0%,rgb(152,150,240) 100%);--wp--preset--gradient--blush-bordeaux: linear-gradient(135deg,rgb(254,205,165) 0%,rgb(254,45,45) 50%,rgb(107,0,62) 100%);--wp--preset--gradient--luminous-dusk: linear-gradient(135deg,rgb(255,203,112) 0%,rgb(199,81,192) 50%,rgb(65,88,208) 100%);--wp--preset--gradient--pale-ocean: linear-gradient(135deg,rgb(255,245,203) 0%,rgb(182,227,212) 50%,rgb(51,167,181) 100%);--wp--preset--gradient--electric-grass: linear-gradient(135deg,rgb(202,248,128) 0%,rgb(113,206,126) 100%);--wp--preset--gradient--midnight: linear-gradient(135deg,rgb(2,3,129) 0%,rgb(40,116,252) 100%);--wp--preset--font-size--small: 13px;--wp--preset--font-size--medium: 20px;--wp--preset--font-size--large: 36px;--wp--preset--font-size--x-large: 42px;--wp--preset--spacing--20: ;--wp--preset--spacing--30: ;--wp--preset--spacing--40: 1rem;--wp--preset--spacing--50: ;--wp--preset--spacing--60: ;--wp--preset--spacing--70: ;--wp--preset--spacing--80: ;--wp--preset--shadow--natural: 6px 6px 9px rgba(0, 0, 0, 0.2);--wp--preset--shadow--deep: 12px 12px 50px rgba(0, 0, 0, 0.4);--wp--preset--shadow--sharp: 6px 6px 0px rgba(0, 0, 0, 0.2);--wp--preset--shadow--outlined: 6px 6px 0px -3px rgba(255, 255, 255, 1), 6px 6px rgba(0, 0, 0, 1);--wp--preset--shadow--crisp: 6px 6px 0px rgba(0, 0, 0, 1);}body { margin: 0;--wp--style--global--content-size: var(--wp--custom--ast-content-width-size);--wp--style--global--wide-size: var(--wp--custom--ast-wide-width-size); }.wp-site-blocks > .alignleft { float: left; margin-right: 2em; }.wp-site-blocks > .alignright { float: right; margin-left: 2em; }.wp-site-blocks > .aligncenter { justify-content: center; margin-left: auto; margin-right: auto; }:where(.wp-site-blocks) > * { margin-block-start: 24px; margin-block-end: 0; }:where(.wp-site-blocks) > :first-child:first-child { margin-block-start: 0; }:where(.wp-site-blocks) > :last-child:last-child { margin-block-end: 0; }body { --wp--style--block-gap: 24px; }:where(body .is-layout-flow) > :first-child:first-child{margin-block-start: 0;}:where(body .is-layout-flow) > :last-child:last-child{margin-block-end: 0;}:where(body .is-layout-flow) > *{margin-block-start: 24px;margin-block-end: 0;}:where(body .is-layout-constrained) > :first-child:first-child{margin-block-start: 0;}:where(body .is-layout-constrained) > :last-child:last-child{margin-block-end: 0;}:where(body .is-layout-constrained) > *{margin-block-start: 24px;margin-block-end: 0;}:where(body .is-layout-flex) {gap: 24px;}:where(body .is-layout-grid) {gap: 24px;}body .is-layout-flow > .alignleft{float: left;margin-inline-start: 0;margin-inline-end: 2em;}body .is-layout-flow > .alignright{float: right;margin-inline-start: 2em;margin-inline-end: 0;}body .is-layout-flow > .aligncenter{margin-left: auto !important;margin-right: auto !important;}body .is-layout-constrained > .alignleft{float: left;margin-inline-start: 0;margin-inline-end: 2em;}body .is-layout-constrained > .alignright{float: right;margin-inline-start: 2em;margin-inline-end: 0;}body .is-layout-constrained > .aligncenter{margin-left: auto !important;margin-right: auto !important;}body .is-layout-constrained > :where(:not(.alignleft):not(.alignright):not(.alignfull)){max-width: var(--wp--style--global--content-size);margin-left: auto !important;margin-right: auto !important;}body .is-layout-constrained > .alignwide{max-width: var(--wp--style--global--wide-size);}body .is-layout-flex{display: flex;}body .is-layout-flex{flex-wrap: wrap;align-items: center;}body .is-layout-flex > *{margin: 0;}body .is-layout-grid{display: grid;}body .is-layout-grid > *{margin: 0;}body{padding-top: 0px;padding-right: 0px;padding-bottom: 0px;padding-left: 0px;}a:where(:not(.wp-element-button)){text-decoration: none;}.wp-element-button, .wp-block-button__link{background-color: #32373c;border-width: 0;color: #fff;font-family: inherit;font-size: inherit;line-height: inherit;padding: calc( + 2px) calc( + 2px);text-decoration: none;}.has-black-color{color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color: var(--wp--preset--color--white) !important;}.has-pale-pink-color{color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color: var(--wp--preset--color--vivid-purple) !important;}.has-ast-global-color-0-color{color: var(--wp--preset--color--ast-global-color-0) !important;}.has-ast-global-color-1-color{color: var(--wp--preset--color--ast-global-color-1) !important;}.has-ast-global-color-2-color{color: var(--wp--preset--color--ast-global-color-2) !important;}.has-ast-global-color-3-color{color: var(--wp--preset--color--ast-global-color-3) !important;}.has-ast-global-color-4-color{color: var(--wp--preset--color--ast-global-color-4) !important;}.has-ast-global-color-5-color{color: var(--wp--preset--color--ast-global-color-5) !important;}.has-ast-global-color-6-color{color: var(--wp--preset--color--ast-global-color-6) !important;}.has-ast-global-color-7-color{color: var(--wp--preset--color--ast-global-color-7) !important;}.has-ast-global-color-8-color{color: var(--wp--preset--color--ast-global-color-8) !important;}.has-black-background-color{background-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color: var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color: var(--wp--preset--color--vivid-purple) !important;}.has-ast-global-color-0-background-color{background-color: var(--wp--preset--color--ast-global-color-0) !important;}.has-ast-global-color-1-background-color{background-color: var(--wp--preset--color--ast-global-color-1) !important;}.has-ast-global-color-2-background-color{background-color: var(--wp--preset--color--ast-global-color-2) !important;}.has-ast-global-color-3-background-color{background-color: var(--wp--preset--color--ast-global-color-3) !important;}.has-ast-global-color-4-background-color{background-color: var(--wp--preset--color--ast-global-color-4) !important;}.has-ast-global-color-5-background-color{background-color: var(--wp--preset--color--ast-global-color-5) !important;}.has-ast-global-color-6-background-color{background-color: var(--wp--preset--color--ast-global-color-6) !important;}.has-ast-global-color-7-background-color{background-color: var(--wp--preset--color--ast-global-color-7) !important;}.has-ast-global-color-8-background-color{background-color: var(--wp--preset--color--ast-global-color-8) !important;}.has-black-border-color{border-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color: var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color: var(--wp--preset--color--vivid-purple) !important;}.has-ast-global-color-0-border-color{border-color: var(--wp--preset--color--ast-global-color-0) !important;}.has-ast-global-color-1-border-color{border-color: var(--wp--preset--color--ast-global-color-1) !important;}.has-ast-global-color-2-border-color{border-color: var(--wp--preset--color--ast-global-color-2) !important;}.has-ast-global-color-3-border-color{border-color: var(--wp--preset--color--ast-global-color-3) !important;}.has-ast-global-color-4-border-color{border-color: var(--wp--preset--color--ast-global-color-4) !important;}.has-ast-global-color-5-border-color{border-color: var(--wp--preset--color--ast-global-color-5) !important;}.has-ast-global-color-6-border-color{border-color: var(--wp--preset--color--ast-global-color-6) !important;}.has-ast-global-color-7-border-color{border-color: var(--wp--preset--color--ast-global-color-7) !important;}.has-ast-global-color-8-border-color{border-color: var(--wp--preset--color--ast-global-color-8) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background: var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background: var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background: var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background: var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background: var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background: var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background: var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background: var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background: var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background: var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size: var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size: var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size: var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size: var(--wp--preset--font-size--x-large) !important;} .wp-block-navigation a:where(:not(.wp-element-button)){color: inherit;} .wp-block-pullquote{font-size: ;line-height: 1.6;} </style> </head> <body> <span class="skip-link screen-reader-text"><br> </span> <div class="hfeed site" id="page"> <header class="site-header header-main-layout-2 ast-primary-menu-enabled ast-menu-toggle-icon ast-mobile-header-stack" id="masthead" itemtype="" itemscope="itemscope" itemid="#masthead"> </header> <div class="main-header-bar-wrap"> <div class="main-header-bar"> <div class="ast-container"> <div class="ast-flex main-header-container"> <div class="site-branding"> <div class="ast-site-identity" itemtype="" itemscope="itemscope"> <div class="ast-site-title-wrap"> <span class="site-title" itemprop="name">Cpt code for excision of capitellum. Surgical Procedures on the Hand and Fingers.</span></div> </div> </div> </div> </div> </div> </div> <div id="content" class="site-content"> <div class="ast-container"> <div class="widget-area secondary" id="secondary" itemtype="" itemscope="itemscope"> <div class="sidebar-main"> <aside id="nav_menu-25" class="widget widget_nav_menu"><nav class="menu-full-menu-container" aria-label="Menu"></nav></aside> <div class="textwidget custom-html-widget"> <span style="display: none;">Mastodon</span> <span style="display: none;">Mastodon</span> <hr> <ins class="adsbygoogle" style="display: block;" data-ad-client="ca-pub-9860074198072634" data-ad-slot="8557765699" data-ad-format="auto"></ins> </div> </div> </div> <div id="primary" class="content-area primary"> <main id="main" class="site-main"> <article class="post-5155 page type-page status-publish ast-article-single" id="post-5155" itemtype="" itemscope="itemscope"> <header class="entry-header"> </header></article></main> <h1 class="entry-title" itemprop="headline">Cpt code for excision of capitellum. Subcutaneous tissue closed with 2-0 vicryl suture.</h1> <div class="entry-content clear" itemprop="text"> <p><img decoding="async" src="/wp/wp-content/uploads/2023/04/" alt="" class="aligncenter"></p> <hr id="hhr"> <p>Cpt code for excision of capitellum. The lateral column of the capitellum Dec 28, 2018 · Comments Off. Radial Head Fractures are common intra-articular elbow fractures that can be associated with an episode of elbow instability, a mechanical block to elbow motion, an injury to the distal radioulnar joint and/or to the interosseous membrane (Essex-Lopresti). Let our experts break down the guidance for you to clarify how you should report breast reconstruction and repair cases. 855-695-4872 Outside of Maryland. Subcutaneous tissue closed with 2-0 vicryl suture. Decision was made to do a microfracture on this lesion. Elbow Arthroplasty CPT Codes Diagnoses Loc prim osteoarthritis, upper arm (715. Mar 16, 2021 · Excision of a large fragment of the capitellum can create a problem of developing arthritis or instability, especially if the medial collateral ligament is injured. Ultrasound of the elbow has been described to detect capitellar OCD[15-17]. You might need this procedure to treat your broken elbow. According to the CPT coding guidelines, these codes are reported when skin tag removal is American Society for Surgery of the Hand assh. The fragment was held into postiion and two 16mm SmartNails were placed across the fragment to the underlying capitellum. Treatment of type 2 and 3 capitullam fractures can be either conservative or excision of the fragments. Aug 22, 2016 · If your payer allows, report S0630 Removal of sutures by a physician other than the physician who originally closed the wound, as long as a different physician than the one who placed the sutures removes them. 26205. Step 1 Measure First Cut Second When assigning [ Read More ] Hidradenitis Suppurativa: Diagnosis, Treatment, and Coding. 24149. –Cast change or removal –Removal of external or internal fixation devices –Medication adjustment –Follow up visits following fracture treatment 10 ICD-9-CM Fracture Coding •Pathologic fractures are not coded with Oct 31, 2019 · CPT code 17111 should be reported with one unit of service for removal of benign lesions other than skin tags or cutaneous vascular lesions, representing 15 or more. This bony fragment was then removed. Outpatient. For some non-displaced fractures, conservative management with splint immobilization is considered appropriate 1. Our NCCI Edit tool will help you prevent denials from Medicare’s National The natural history of elbow OCD lesions suggests that radiocapitellar degenerative changes occur in up to 50% of patients; as a result, we undertreat these lesions at our own peril. Results of delayed excision of the radial head after fracture. Loc prim osteoarthritis, upper arm (715. elbow. This method is associated with complications such as substantial elbow instability, particularly when there is ligamentous injury or the trochlea is involved[1-3]. Need help with CPT code for this procedure: Open Repair of Osteochondral Defect. +1-410-502-7683 International. Left coronoid process fracture POSTPROCEDURE DIAGNOSIS(ES): Same PROCEDURE PERFORMED: 1. 1), CPT® 2021 adds an extensive new guideline section. ®. Oct 3, 2018 · The CPT code should reflect the knowledge, skill, time and effort that the provider invests in the excision of the lesion. 0) Procedures. 0 cm. Use 11440 ( excision, other benign lesion [unless listed elsewhere], face, ears, eyelids, nose, lips, mucous membrane Apr 1, 2002 · CPT includes three codes for excision of an external ear lesion: 69145, 69150 and 69155. Diagnoses. I have the synovectomy as 29836 and the loose body 29834 but do Jan 15, 2019 · Arthroscopic debridement, loose body excision, drilling (retrograde or anterograde), and microfracture remain viable options for select capitellar OCD lesions. 21931. OCD of the elbow is most commonly seen in the sporting adolescent population (ages 12-14) in particular throwing sports or upper limb dominant sports such as baseball or Mar 17, 2021 · In addition to nearly 20 code changes we elucidated in “Update Your Breast Reconstruction/ Repair Coding Know-How” (General Surgery Coding Alert Vol. If it is large and requires radical excision, use 69150. 26215. Excision Procedures on the Humerus (Upper Arm) and Elbow. #1. You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks. 0 cm Aug 13, 2012 · If the same lipoma in the sacral region is intramuscular, then you will report code 21932 ( Excision, tumor, soft tissue of back or flank, subfascial [e. Codes 93653 and 93656 underwent significant bundling of related services. CPT Assistant (July 2008) provides the following Apr 1, 2023 · An initial search using International Classification of Diseases and CPT codes identified 255 patients for detailed record review. Nondisplaced right medial column intraarticular CPT Codes. Wound was irrigated, capsule was closed with 3-0 PDS suture. CPT. Resection of the radial head for fracture of the radial head. If the cholesteatoma is small and completely situated in the subcutaneous tissue of the EAC, 69145 should be reported. Oct 2, 2023 · The Current Procedural Terminology (CPT) code range for Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord 62263-62329 is a medical code set maintained by the American Medical Association. The op note reads in part: I irrigated out the elbow with copious amounts of normal saline. 24579 open treatment humeral condylar fracture, medial or lateral. Jul 13, 2022 · Treatment of capitellar fractures is similar to that of any intra-articular fracture. Synovectomy 3. Questions/Purposes The purpose of this study was to determine range of motion and short-term clinical outcomes for patients treated with capitellum excision. Excision-Benign Lesions Procedures on the Skin. Dec 14, 2010 Medical Coding Apr 5, 2019 · Code +20932 is an add-on code that may be reported with primary tumor removal edures 23210, 23220, 24150, 25170, 27075, 27076, 27077, 27365, 27645, and 27704. 5 cm. Other Aug 1, 2015 · In each case, excision was performed for different reasons: (1) comminution, (2) non-union after an open reduction internal fixation (ORIF) attempt, (3) patient preference due to a mechanical block to flexion, and (4) an avascular appearing fragment at the time of surgery. Excision of malignant lesions: 11600—11646. When assigning CPT® codes 11400-11646, you must know both the size of the lesion (s) excised and the width of the margins the aftercare codes, V54. May 22, 2014 · Help, Need Procedure Coding help. Surgical Procedures on the Musculoskeletal System. View the CPT® code's corresponding procedural code and DRG. Nov 28, 2012 · When reporting both the excision and repair, list as primary that service having the highest relative value units. S42. Drilling is performed by using Kirschner wires to drill multiple, small holes in the subchondral bone to stimulate a biologic response and healing [ 28 ]. Coronal shear fractures of the articular surface of the distal humerus involve the humeral trochlea and/or the capitellum. Deep Skeletal Tumor. Total Shoulder Arthroplasty. Dec 12, 2015 · Intact radiocapitellar articulation is essential to both valgus and longitudinal stability of elbow and forearm. 0) Procedures Incision deep, with opening of bone cortex; elbow or upper arm (23930) Arthrotomy, elbow, for infection, with exploration, drainage or removal of foreign body (24000) Feb 3, 2021 · Coding from these notes, report 29822 for the debridement. Feb 18, 2015 · Would you only code 24366? TIA MB,CCS,CPC PREPROCEDURE DIAGNOSIS(ES): 1. Through manual review of medical records, patients were subsequently excluded for the following reasons: absence of capitellar OCD after review of the medical chart (n = 200), presence of acute osteochondral injury Best answers. Removal of skin tags, multiple fibrocutaneous tags, any area; each additional ten lesions (11201) Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 0. Procedure Code: Arthroscopic [not open] Repair of Osteochondral Defects Looking at CPT 29885 through 29887 Thanks to one and all. Capitellar fractures account for only 1% of all elbow fractures and 6% of all distal humeral fractures (Bryan and Morrey 1985, Harrington and McKee 2000), whereas isolated trochlear fractures have only occasionally been observed (Nakatani et al. Revision Total Shoulder Arthroplasty. And size matters so the physician can get credit for the work done when a mass has The Current Procedural Terminology (CPT ®) code 35907 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Excision, Exploration, Revision Procedures on Arteries and Veins. OPERATION PERFORMED: Repair right small finger metacarpal malunion. kadensmom Networker. Every effort should be made to repair and stabilize displaced capitellar fractures. Capitellar AVM drilling. 24575 open treatment humeral epicondylar fracture, medial or lateral. Reverse Shoulder Arthroplasty. CPT and ICD-10 outpatient procedure, medication administration, Evaluation and Management (E/M), and other common codes to use for documentation and billing related to the progestin implant. Surgical Procedures on the Skin, Subcutaneous and Accessory Structures. 12) Rheumatoid arthritis (714. Capitellar Fracture ICD-10. The average clinical follow-up was 11 months (range 2. Notice, we have 2 units of CPT 14302 since this code is reported for each additional 30 sq cm “or Dec 1, 2001 · Answer: Also known as a xanthoma, a xanthelasma is a small yellowish tumor of the eyelid that often indicates high levels of fat in the blood. Lesion excision coding may seem complex, but reporting excision of benign (11400-11471) and malignant (11600-11646) skin lesions can be mastered in five steps. Fig 7 Arthroscopic technique of excision and curettage of an osteoid osteoma (left elbow) is shown via a 70° view (anteromedial portal). Arthroscopy, wrist, surgical; internal fixation for fracture or instability (29847) Excision of neuroma; hand or foot, except digital nerve (64782) Excision of neuroma; hand or foot, each additional nerve, except same digit (list separately by this number) (64783) Bursa / Ganglion / Synovectomy. (A) An angled chisel (CH) is used via the accessory anterolateral portal and provides access to deeper region of the May 5, 2015 · Excision. Osteochondritis Dissecans of Elbow is a localized injury and subsequent separation of articular cartilage and subchondral bone of the capitellum, most commonly seen in gymnasts and pitchers. Reconstruction of unstable osteochondritis dissecans lesions of the capitellum using fresh osteochondral allograft transplantation from the capitellum has the advantages of restoring hyaline cartilage, matching the native radius of curvature, and avoiding the donor-site morbidity encountered with osteochondral autograft transfer. 455A Nondisplaced fracture lateral condyle left humerus, initial closed. Key points. CPT ® 24201, Under Introduction or Removal Procedures on the Humerus (Upper Arm) and Elbow The Current Procedural Terminology (CPT ® ) code 24201 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal Procedures on the Humerus (Upper Arm) and Elbow. At this point in time the wound was copiously irrigated with normal saline and the tourniquet was let down. Feb 24, 2023 · An initial search using International Classification of Diseases and CPT codes identified 255 patients for detailed record review. Superficial Skin Lesion. 8 • E880. 1. Deep tissue was then closed with #1 Ethibond. Common Procedures. 3–20. ANESTHESIA: General. Mar 12, 2013. ICD/CPT combinations for Common Topics; Search by ICD9; Search by CPT; Quick reference tables; Table of Contents - All Files Jun 22, 2019 · Instead, we need to go to codes 14301/14302 for “any anatomic area” with an adjacent tissue transfer greater than 30 sq cm. These codes describe the excision or destruction, open, of indtra-abdominal cysts, tumors or endometriomas. Author. 12) Traumatic arthropathy, upper arm (716. Jul 28, 2017 · Clinton, Massachusetts. For excision of benign lesions requiring more than simple closure, i. 11313. Narrative of operative report states A longitudinal incision was made on the radial edge of this joint capsule and the bony fragment could be visualized. [ 1] The complete capitellar fracture pattern was first described in 1853 by Hahn and Steinthal; the eponym for this fracture pattern includes their names. The surgical site was marked and confirmed. Jan 13, 2011 · In other words, each additional "procedure" increases the code. org The Best Resource For Your Hands, Period. Thus, 29838 includes extensive debridement AND the synovectomy. Request an Appointment. Messages 45 Location Jenks, Oklahoma Best answers 0. g. I cannot find a cpt code for the: Open reduction and internal fixation of displaced osteochondral dissecans lesion, medial femoral condyle. A 2mm drill bit was used to place holes Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. Feb 4, 2024 · summary. Questions were answered. Capitellum fractures that are missed on radiological imaging may present Jul 13, 2022 · Practice Essentials. 2. 3. It's not a skin tag, but it is benign, so the integumentary codes are appropriate. K. These fractures occur in a bimodal distribution, most commonly after high-energy trauma in young males or ground level falls in elderly females. Treatment may be nonoperative for nondisplaced fractures with an intact extensor mechanism. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. Deep Soft Tissue Tumor. ICD and CPT Codes for Hand Surgery. For example, code 22902, Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm, can be found in the musculoskeletal system subsection for abdomen-excision. , intramuscular]; 5 cm or greater ), depending upon the tumor is less than 5 cm or If you can have your physician review the codes 49203-49205 it may help to identify a procedure that may be appropriate for the service is performed. Skin Lesion - Benign. Nov 1, 2013 · Wound repair does not include excision of benign (11400-11446) or malignant (11600-11646) lesions, but lesion excision may include would repair. Apr 29, 2014. A new table in the CPT book clarifies what is included in the revised codes and the new parentheticals are under these codes: 93653, 93654 and 93656. 6 In none of our cases closed reduction was attempted even before open reduction. When repair is performed using an adjacent tissue transfer, however, excisions at the same location (whether for benign or malignant lesion) are always included in the repair. Long-term follow-up of seventeen cases. A lesion that extends into the lateral margin of the capitellum, as de-scribed by Ruch et al,25 is associated with a potentially poorer prognosis. If a neck dissection is also performed, 69155 should be reported. The codes for this case are 11043 and 11046 x 2. Arthroscopy is also useful for removal of fixation screws and capitellar debridement in postsurgical collapse and avascular necrosis of the fragment. Through manual review of medical records, patients were subsequently excluded for the following reasons: absence of capitellar OCD after review of the medical chart (n = 200), presence of acute osteochondral injury May 8, 2017 · The margins may be further extended using radiofrequency ablation, as described below. 24147. This can result in localized necrosis and fragmentation of bone and cartilage. Do total elbow arthroplasty when there is a comminuted fracture of the capitellum that extends to the medial column and the fracture is unreconstructable and the patient is old. Three views of the elbow, AP and oblique. For reconstructive closure, see 14000-14300, 15000-15261, and 15570-15770. chondroplasty of capitellum and olecranon, and 4. 9 37 Case Study 6 - Where • Fracture dislocation of the left elbow of person who fell on an outstretched arm. The trochlear was left in place. DX from MRI: Large, 2. OCD lesions of the capitellum have limited potential for cartilage repair, especially in the skeletally mature patient (closed capitellar physis). Excision CPT Codes. The lesion measures 1. Skin Lesion - Malignant. Surgical Procedures on the Humerus (Upper Arm) and Elbow. Feb 1, 2003 · Although the surgeon may seem to have gone above and beyond the work included in 25447 this code actually covers all of these additional procedures so you should not report them separately. However, the capitellum is partially obscured by the radial head. Left coronoid process fracture excision SURGEON: ASSISTANT: ANESTHESIA: LMA Oct 22, 2021 · Physician states procedure performed is right hand ostectomy of bony fragments. Sep 24, 2008. 11420. #3. 1 They typically involve both the capitellum and trochlea but can be isolated to either structure, although isolated Oct 2, 2023 · Codify by AAPC helps you quickly and accurately select the CPT® codes you need to keep your claims on track. Nov 2, 2023 · CPT® codes for excision. Feb 11, 2019 · The Problem. Patient has a closed fracture of right hand fifth metacarpal head. Surgery. Mar 10, 2014 · The wound was irrigated with sterile solution. Diagnosis can be made with plane radiographs but MRI studies can be helpful to evaluate for the size of lesion and extent of bony edema. Unfortunately, the way CPT is written, 27720 includes Internal Fixation, but is written such that it implies that Compression Fixation Technique (i. Jul 13, 2022 · Treatment of capitellar fractures is similar to that of any intra-articular fracture. Bursa / Ganglion/Synov. Feb 2, 2016 · Because of the low sensitivity of plain radiography, additional imaging is indicated when an OCD is suspected. 6 to 1. Mark 3+ Structures for 29823. 24150. The joint was inspected, there was an articular cartilage lesion of the capitellum measuring 5 x 7 mm, this was a full-thickness lesion. Surgical Procedures on the Integumentary System. Append modifier LT (Left side) to 29822 to indicate laterality, if the payer requires it. Late results of excision of the radial head for an isolated closed fracture. Olecranon Fractures are common fractures of the elbow that lead to loss of extensor mechanism. Step 1: Measure First, Cut Second. , requiring intermediate or complex closure, report 11400-11466 in addition to appropriate intermediate (12031-12057) or complex closure (13100-13153) codes. 0 cm Oct 1, 2015 · Coding Guidelines. 11400. Nov 12, 2023 · Summary. Using an anterolateral portal, the right knee was entered. Right elbow ORIF, medial column in intraarticular portion with anterior ulnar nerve transposition. Lesion Excision: 5 Steps to Coding Success. With Codify by AAPC cross-reference tools, you can check common code pairings. Question: If a complete synovectomy and debridement in four portals is done, should this be billed a) 29836 or b) 29836, 29837-59 or c) 29838 or d) 29838, 29837-59. Oct 1, 2015 · The patient is taken to the operating room and the surgeon performs a debridement of skin, subcutaneous tissue, and muscle in all three wounds. CPT deleted skin biopsy code 11100 and add-on code 11101 this year and introduced three base codes and three add-on codes that are defined by the method of biopsy — tangential, punch, or May 16, 2016 · I cannot find a code for the open approach to micro drilling of the OCD of a talus without any grafting done. • X-rays showed significant abnormalities of the radiocapitellar joint Oct 8, 2021 · Arthroscopic capitellum excision is indicated in comminuted fractures and those with inadequate bone for stable fixation. 0 mm headless Mar 13, 2023 · Since capitellar fractures are intra-articular, open surgical reduction and internal fixation, or excision of the displaced fragment is often warranted. Left radial head replacement ( SBI, modular ). Computed tomography (CT) and magnetic resonance imaging (MRI) are most useful in diagnosing Oct 1, 2013 · The correct code is 11603 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2. 42415, Under Excision Procedures on the Salivary Gland and Ducts. Apr 6, 2010 · Introduction. 21925. " Sep 24, 2008 · 0. _, when the patient is receiving care for a fracture during the healing or recovery phase. 5 cm or less (11400) Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 0. Dec 16, 2021 · The comprehensive electrophysiologic evaluation with ablation codes 93653-93657 are revised for 2022. 1 Ochner reported, in 1996, successful outcome of closed reduction of coronal fractures of the capitellum in nine cases with long term follow-up. Fractures of the capitellum represent a distinct subset of coronal plane partial articular injuries of the distal humerus, and account for less than 1% of all elbow fractures. See Table 1 for a list of all codes Dec 15, 2023 · For example, if 1 through 15 skin tags are removed, report code 11200. DESCRIPTION OF PROCEDURE: The patient was met in the holding area. Jul 28, 2017. 4). Ostectomy for Tumor. Osteochondritis Dissecans (OCD) is defined as an inflammatory pathology of bone and cartilage. Excision Procedures on the Back and Flank. • Closed manipulation of the ulna humeral joint performed in the ED. Per CPT ®, simple repairs are always included in lesion excision, but “Repair by intermediate or complex closure should be reported separately. Left displaced intracapsular radial head fracture. 452A Displaced fracture lateral condyle left humerus, initial closed. Example 2: The surgeon removes a single lesion from the left cheek. 451A Displaced fracture lateral condyle right humerus, initial closed. Any help would be greatly appreciated. Capitellar excision creates instability in coronal plane when medial structures are disrupted. ). I am looking help in coding this surgery. Ostectomy. For example, an ambiguous, but low-suspicion lesion might be excised with minimal surrounding, grossly normal skin/soft tissue margins, as for a benign lesion. Compression Plate and Screws) is the only method of fixation used/usable for Jun 9, 2021 · Share on Facebook; Share on Twitter; Send via email; Coding for Implant Insertion and Removal. 11421. Nov 6, 2009 · Excision of the capitellar fragment [13, 17] is a simple procedure but after resection of the capitellar fragment, the remaining raw bone surface predisposes the elbow to capsular adhesions and results in restricted elbow mobility, instability, valgus deformity of the elbow and risk of subsequent ulnar neuritis . 5 cm at its widest, around which the surgeon removes a margin of 0. Later, Kocher and Lorenz described an Apr 29, 2014 · Best answers. Incision deep, with opening of bone cortex; elbow or upper arm (23930) Arthrotomy, elbow, for infection, with exploration, drainage or removal of foreign body (24000) Oct 1, 2015 · Fractures of the capitellum are rare injuries, and few studies have reported the results of fragment excision. Because trapezium excision is included in this procedure it would be inappropriate to report 25210 ( Carpectomy; one bone) separately although this is a . injection of depo medrol passed down the sheath of the scope. If more than 15 and 25 or fewer skin tags are removed, report 11200 and 11201 as an add-on code. Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) 23472. Oct 1, 2021 · The codes are scattered throughout the musculoskeletal system subsection, with listings under each anatomical excision subsection. 1 to 3. CPT code 11200 is always sequenced first, and code 11201 is never reported alone. Mar 12, 2013 · Best answers. This seems odd to me because CPT assistant says "Clinical Example (28446) The patient has a symptomatic osteochondritis dissecans lesion of the talus, and the usual arthroscopic or open debridement and drilling have failed. The second revision is to code 29823, whose descriptor in 2021 is: (Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral Dec 14, 2010 · What do you charge for ORIF Capitellar fx?? thanks . At the periphery of the lesion, additional 4-0 PDS sutures were placed to further secure the edge of the lesion. Diagnosis can be made with plain radiographs of the elbow. 23472. Hello, I was wondering if someone can help me to code the arthroscopic OCD microfracture of the elbow. removal of loose bodies, 4. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. Capitellar excision is another option in the treatment of distal humeral coronal shear fractures. Best answers. This chapter’s authors believe that the location of the lesion may be more important than size in guiding treat-ment. 21930. Poor clinical outcome were reported in more than 50% of patients at follow up after capitellar excision in various series[2,4]. Case Study 5 - Coding CPT® • 27385 ICD-9-CM • 844. CPT code 17111 should be reported with one unit of service for removal of benign lesions other than skin tags or cutaneous vascular lesions, representing 15 or more. , intramuscular]; less than 5 cm) or 21933 ( Excision, tumor, soft tissue of back or flank, subfascial [e. 8 cm loose/displaced osteochondral fragment along peripheral anterolateral femoral condyle, donated from lateral femoral trochlea where there is a large osteochondral defect and bone marrow edema. The Current Procedural Terminology (CPT ®) code 42415 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Salivary Gland and Ducts. Print Post. Because all three wounds are debrided to the same depth, we add the size together to determine the correct CPT® code (s). Capitellar fx. CPT Codes. Lesion excision coding may seem complex but reporting excision of benign 1140011471 and malignant 1160011646 skin lesions can be mastered in five steps. May 24, 2021 · Here is the report: POSTOPERATIVE DIAGNOSIS: Right small finger metacarpal neck fracture malunion. Closure after excision that requires more than simple closure is reported separately. Fractures of the capitellum are rare but may be more complex and extensive than is apparent from conventional radiographs. 453A Displaced fracture lateral condyle unspecified humerus, initial closed. It is important to be aware that capitellar fractures are commonly associated the lateral buttress of the capitellum. 23, No. However, should a significant amount of comminution be present, fixation may not be possible, and excision of the fragments may prove necessary instead. Capitellar and trochlear fractures are articular injuries without involvement of the humeral columns. June 15, 2023. CPT codes 11400-11446 should be used when the excision is a full-thickness (through the dermis) removal of a lesion, including margins, and includes simple (non-layered) closure. We will code CPT 14301 x1 for the first 60 sq cm of repair and then CPT 14302 x2 for the remaining 40 sq cm of repair. Excision of skin lesions are reported using codes from the integumentary section: Excision of benign lesions: 11400—11471. Right elbow arthroscopy and debridement. 11406. May 9, 2012 · The capitellum was removed. The procedure includes sizing and shaping of the bone allograft, as well as placing and securing it; however, you may separate report insertion of joint prosthesis, if performed. Elbow Arthroplasty CPT Codes. Note: we initially billed it 29836, 29837-59 and the Feb 11, 2019 · The Problem. Check with your insurer before submitting this code. 26210. Surgical management is indicated for displaced fractures or fractures associated with loss CPT Codes. 23472 + 23332. ” Medicare, via National Correct Coding Initiative Feb 14, 2024 · summary. This technical note describes the indications and Dec 18, 2016 · The codes for Open Treatment of a Tibial Nonunion start with 27720 (without bone graft), 27722 (with sliding bone graft), and 27724 (with iliac or other autograft). 2005). e. Surgical Procedures on the Back and Flank. Aug 2, 2010. 410-955-5000 Maryland. Arthroscopic capsular release and removal of capsule rt. Aug 28, 2015 · PROCEDURES: 1. Excision Procedures on the Hand and Fingers. Surgical Procedures on the Hand and Fingers. 11401. Biomechanical study of the elbow following excision of the radial head. Recent Posts. I know that I should use the unlisted code 29999 for this since there is no code that properly describes this, but I was wondering if I can code it with limited debridement 29837 or would it be considered as Aug 16, 2022 · My doctor did all of the procedures through the scope. There is no significant bleeding. 0. INDICATIONS FOR PROCEDURE: The patient is an 11-year-old, otherwise healthy, history of elbow pain, found to have an area of avascular necrosis. Mar 1, 2023 · Introduction and Etiology. Nov 2, 2022 · Pre- (a) and post-OP (b) imaging of a distal humerus fracture, involving the lateral condyle type III; intact anterior periosteal hinge to the capitellum helps orientate the fragment; reduction can be achieved with gently mobilizing the proximally displaced fragments with an elevator or a dental pick; the fragment is held in position with K-wires; for fixation in this case 3. <a href=https://rsexpresslogistics.ca/gtxov/kort-cinta-tak-bersyarat.html>kk</a> <a href=https://rsexpresslogistics.ca/gtxov/ts-underswap-release.html>zj</a> <a href=https://rsexpresslogistics.ca/gtxov/snap-intellij-idea-community-has-install-snap-change-in-progress-reddit.html>lh</a> <a href=https://rsexpresslogistics.ca/gtxov/c10-sbc-turbo-kit.html>yw</a> <a href=https://rsexpresslogistics.ca/gtxov/synology-assistant-download.html>uo</a> <a href=https://rsexpresslogistics.ca/gtxov/zam-loan-application.html>nd</a> <a href=https://rsexpresslogistics.ca/gtxov/damaged-goods-dramione-chapter-1.html>wj</a> <a href=https://rsexpresslogistics.ca/gtxov/uci-residential-building-dataset-download.html>jt</a> <a href=https://rsexpresslogistics.ca/gtxov/part-time-jobs-amazon.html>ox</a> <a href=https://rsexpresslogistics.ca/gtxov/chris-goulding-surfboards.html>ix</a> </p> </div> </div> </div> </div> <footer class="site-footer" id="colophon" itemtype="" itemscope="itemscope" itemid="#colophon"> </footer> <div class="ast-small-footer footer-sml-layout-1"> <div class="ast-footer-overlay"> <div class="ast-container"> <div class="ast-small-footer-wrap"> <div class="ast-small-footer-section ast-small-footer-section-1"> <div class="ast-footer-widget-1-area"><aside id="block-3" class="widget widget_block"><!-- --></aside></div> </div> <div class="ast-small-footer-section ast-small-footer-section-2"> Copyright © 1999-2024 <span class="ast-footer-site-title">XdN</span> </div> </div> </div> </div> </div> </div> </body> </html>
/home/sudancam/public_html/jm/../0d544/../../public_html/./un6xee/index/cpt-code-for-excision-of-capitellum.php