Orthopedic Coding Alert

Reader Question:

Include Volar Plate Repair in 26370

Question: Our orthopedic surgeon repaired a patient’s flexor pollicus longus (FPL) tendon and also repaired the patient’s volar plate on the same digit. Which codes should we report for this procedure?

West Virginia Subscriber

Answer: You should report 26370 (Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon) for the FPL repair.

The Correct Coding Initiative bundles the volar plate repair code (26548, Repair and reconstruction, finger, volar plate, interphalangeal joint) into 26370, so you shouldn’t separately report 26548 — unless you have documentation supporting the use of a modifier. 

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