7th place A or P

My doctor saw the patient in the office for fractured Humerus and determined that the patient needed surgery. The patient had other medical conditions, so the surgery was not done for another 3 weeks until she was cleared. At this time the patient now has a malunion of the fracture. The doctor did hemiarthroplasty and a bone graft to repair the malunion.

My question is which 7th digit do I use? Since the patient is having surgery, I would normally use the A. However the CPT code for the bone graft is for a repair of the malunion - which would be a P!

Any suggestions?

Thanks,

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7th place A or P