Orthopedic Coding Alert

Question: Can we bill the procedure code twice for trigger finger repair on two fingers during the same operative session? Do we include modifiers?

Pennsylvania Subscriber

Answer: Yes, you can report codes such as 26055 (Tendon sheath incision [e.g., for trigger finger]) multiple times during the same procedure when appropriate. List each finger on separate lines on your claim and include the "F" modifier (such as F1, Left hand, second digit) to indicate the finger treated.

Note: If the surgeon made two separate incisions, some payers might require you to append modifier 59 (Distinct procedural service) to the second instance of 26055. Other payers might not ask for modifier 59, however, because using the "F" modifiers documents separate locations. Know your payer's requirements before filing the claim.