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Old 07-25-2008, 09:08 AM
coderguy1939 coderguy1939 is offline
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Default Carpal Boss Excision

I'd like to know what procedure codes other coders use for excision of a carpal boss located at the carpometacarpal joint. I can find codes for the carpal or metacarpal bones but not for the carpometacarpal joint. Thanks.
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Old 07-25-2008, 10:08 AM
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mbort mbort is offline
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can you post the sanitized note?
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Old 07-25-2008, 10:47 AM
coderguy1939 coderguy1939 is offline
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There is no op report. This is a request for a CPT code for preauthorization for bone excision at the carpometacarpal joint for carpal bossing.
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Old 07-25-2008, 10:51 AM
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I would go with the 25130 then
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Old 07-25-2008, 11:33 AM
coderguy1939 coderguy1939 is offline
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Thanks, I appreciate your input.
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Old 04-08-2009, 11:29 AM
emr7775 emr7775 is offline
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Default Carpal bossing dx

I would like to know what other coders are using for carpal bossing dx?
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Old 04-08-2009, 02:30 PM
sandrews724 sandrews724 is offline
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I agree with 25130
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Old 04-09-2009, 10:50 AM
martnel martnel is offline
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Quote:
Originally Posted by emr7775 View Post
I would like to know what other coders are using for carpal bossing dx?
I use 726.91, with the 25130 CPT, as others has said.
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Old 04-10-2009, 05:53 AM
Jamie Dezenzo Jamie Dezenzo is offline
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Per Orthro coding alert (Jan. 2006)

READER QUESTIONS: Look to 26230 for Carpal Bossing

Question: Which CPT and ICD-9 codes should I report when the surgeon documents carpal bossing?


Texas Subscriber


Answer: Because a carpometacarpal boss occurs at the base of the second and third metacarpals, it constitutes a “partial” excision. Therefore, you should report 26230 (Partial excision [craterization, saucerization, or diaphysectomy] bone [e.g., osteomyelitis]; metacarpal) when the surgeon documents carpal bossing.

For the diagnosis code, the American Society for Surgery of the Hand recommends 718.04 (Articular cartilage disorder; hand).

If your surgeon thinks that 733.99 (Other and unspecified disorders of bone and cartilage; other) is more appropriate for your patient’s case, you should select that code instead.
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Old 04-13-2009, 11:07 AM
emr7775 emr7775 is offline
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Thanks Martn, I appreciate your help.
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