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Review Question - QID 213164

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QID 213164 (Type "213164" in App Search)
A 29-year-old avid skier sustains an open diaphyseal tibia fracture with significant bone loss during a trip in the back country. He is taken to the OR for irrigation and debridement, intramedullary nailing, and cement spacer placement. Six weeks later he is taken back to the OR for spacer removal and bone grafting. When billing for his most recent surgery, what modifier should be appended to the procedural codes?
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