ED Coding and Reimbursement Alert

Reader Questions:

Report Manipulation Along With Palmar Fascial Cord Injection

Question: Encounter notes indicate that the ED physician injected collagenase for a patient with “palmar fascial cord.” After the injection, the physician also manipulated the cord. Is there a way to code for both services?

Louisiana Subscriber

Answer: Yes, there is. On the claim, report:

  • 20527 (Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren’s contracture)) for the injection
  • 26341 (Manipulation, palmar fascial cord (ie, Dupuytren’s cord), post enzyme injection (eg, collagenase), single cord) for the manipulation
  • Modifier 51 (Multiple procedures) appended to 26341 to indicate you are reporting multiple procedures
  • M72.0 (Palmar fascial fibromatosis [Dupuytren]) appended to 20527 and 26341 to represent the patient’s palmar fascial cord

More info: “Palmar fascial cord” is also known as Dupuytren’s contracture.