please help with code

[pamelakirsch@sbcglobal.net]

Is there a procedure code for Dupuytren's contracture when a cord can be felt? Overtime , the thickening of this cord in your hand can cause one or more fingers to bend toward your palm and cannot be straightened. Is there is a medication straightens the fingers. Is there a surgical code for this procedure?

[LaVoncye]

Try code for the procedure is 26040 thisia per digit code. Are you using DX code 728.6 or 728.0. The surgical name of the procedure is a Fasciotomy.

[Judi Reid CPC]

Originally Posted by pamelakirsch@sbcglobal.net

Is there a procedure code for Dupuytren's contracture when a cord can be felt? Overtime , the thickening of this cord in your hand can cause one or more fingers to bend toward your palm and cannot be straightened. Is there is a medication straightens the fingers. Is there a surgical code for this procedure?

Hi Pam,

There is a two new CPT codes for this in 2012, I have copy and pasted the information from the AAOS 2012 changes Part 1.

Dupuytren’s Contracture

Two new CPT codes on the treatment of Dupuytren’s contracture were introduced. CPT code 20527—“Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren’s contracture)”—describes the work associated with the injection on the first day. CPT code 26341—“Manipulation, palmar fascial cord (ie, Dupuytren’s cord), postenzyme injection (eg, collagenase)”—describes the work on the second day for the manipulation of the cord.

Both procedures are single-use codes; CPT code 20527 carries no global period while CPT code 26341 invokes a 10-day global period. Application of a custom-fabricated splint is separately reportable on the second day.

And from Medicare which also listed the drug and CPT codes for a 2- day procedure:

Jurisdiction 11 Part B
Dupuytren’s Contracture Treatment Billing/Coding Guidelines
Due to the permanent code assignment for Xiaflex and correct coding for the injection of the drug, physicians should report Dupuytren’s contracture treatment with the following codes:

Day 1

•J0775 – Injection, Collagenase, Clostridium Histolyticum, 0.01 mg (BE SURE YOU BILL THIS IN THE CORRECT UNITS)
•20527 – Injection, enzyme (e.g., Collagenase), Palmer Fascial Cord (e.g., Dupuytren’s Contracture)

◦Use the appropriate modifier to indicate right or left hand
Day 2

•26341 – Manipulations, palmar fascial cord (e.g., Dupuytren’s cord), post enzyme injection (e.g., collagenase), single cord
•29130 – Splint application
The Evauluation and Management (E/M) service is included in the fee for code 26341. These codes are effective on January 1, 2012.

I hope this helps,

Judi Reid, CPC

[pamelakirsch@sbcglobal.net]

Originally Posted by LaVoncye

Try code for the procedure is 26040 thisia per digit code. Are you using DX code 728.6 or 728.0. The surgical name of the procedure is a Fasciotomy.

Thank you sooooooooo much LaVoncye!!

[pamelakirsch@sbcglobal.net]

Originally Posted by Judi Reid CPC

Hi Pam,

There is a two new CPT codes for this in 2012, I have copy and pasted the information from the AAOS 2012 changes Part 1.

Dupuytren’s Contracture

Two new CPT codes on the treatment of Dupuytren’s contracture were introduced. CPT code 20527—“Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren’s contracture)”—describes the work associated with the injection on the first day. CPT code 26341—“Manipulation, palmar fascial cord (ie, Dupuytren’s cord), postenzyme injection (eg, collagenase)”—describes the work on the second day for the manipulation of the cord.

Both procedures are single-use codes; CPT code 20527 carries no global period while CPT code 26341 invokes a 10-day global period. Application of a custom-fabricated splint is separately reportable on the second day.

And from Medicare which also listed the drug and CPT codes for a 2- day procedure:

Jurisdiction 11 Part B
Dupuytren’s Contracture Treatment Billing/Coding Guidelines
Due to the permanent code assignment for Xiaflex and correct coding for the injection of the drug, physicians should report Dupuytren’s contracture treatment with the following codes:

Day 1

•J0775 – Injection, Collagenase, Clostridium Histolyticum, 0.01 mg (BE SURE YOU BILL THIS IN THE CORRECT UNITS)
•20527 – Injection, enzyme (e.g., Collagenase), Palmer Fascial Cord (e.g., Dupuytren’s Contracture)

◦Use the appropriate modifier to indicate right or left hand
Day 2

•26341 – Manipulations, palmar fascial cord (e.g., Dupuytren’s cord), post enzyme injection (e.g., collagenase), single cord
•29130 – Splint application
The Evauluation and Management (E/M) service is included in the fee for code 26341. These codes are effective on January 1, 2012.

I hope this helps,

Judi Reid, CPC

Thank you so much Judi!!!