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CPT® 26350, Under Repair, Revision, and/or Reconstruction Procedures on the Hand and Fingers

The Current Procedural Terminology (CPT®) code 26350 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Hand and Fingers.

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Summary

The provider repairs or advances a flexor tendon of the hand or finger in an area other than zone 2. He does not use a free graft for this procedure.

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Flexor Digitorum Profundus tendon in the hand
My question is if Dr. is repairing a Flexor Digitorum Profundus tendon not in zone 2, should we code 26350 or 26370. 26350 is repair of flexor tendon, not in zone 2 and 26370 is repair of advancement ... [ Read More ]
repair of profundus and superficialis tendon
Been staring at this recent complicated laceration for a bit and need some help please. There were several flexor tendons torn (zone 4/5) and I have those coded, but wanted to know: If both the profun... [ Read More ]
FDS repair
Please look at this op note. Is there tendon repair being done ? Dr. is listing the procedures as ORIF DIP fx(26765) and Complex laceration repair >3cm(13132). 26765 and 26350 were authorized but I... [ Read More ]
Trigger finger/FDS repair both billable ?
Just ran this through 3M and it doesn't hit any edits - I haven't looked directly at the NCCI spreadsheets... but I would code 25609-lt/rt and 26350,51,lt/rt... [ Read More ]
Trigger finger/FDS repair both billable ?
I need some guidance - some articles say you can bill both 26055 (59)TFR along with flexor digitorum superficialis repair 26350 The insurance is a medicare advantage - that leads me directly to just ... [ Read More ]
Simple wound repair with fracture and tendon repairs etc.
We are the payer, and we denied 12005. The doctor's office is appealing, stating that it wasn't for closing the surgical wound, so it should be payable with modifier 59. NCCI edits bundle 12005 (sim... [ Read More ]
Simple wound repair with fracture repairs, tendon repairs etc.
We are the payer, and we denied 12005. The doctor's office is appealing, stating that it wasn't for closing the surgical wound, so it should be payable with modifier 59. NCCI edits bundle 12005 (sim... [ Read More ]
Maximum Frequency Per Day Policy
[QUOTE="Achia, post: 282003, member: 228897"]What is a maximum frequency per day policy for cpt 26350? Please help!!![/QUOTE] The maximum frequency per day (MFD) policy is a United Healthcare term. ... [ Read More ]
Maximum Frequency Per Day Policy
[QUOTE="Achia, post: 282003, member: 228897"]What is a maximum frequency per day policy for cpt 26350? Please help!!![/QUOTE] [url]http://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/MUE.htm... [ Read More ]
Maximum Frequency Per Day Policy
What is a maximum frequency per day policy for cpt 26350? Please help!!!... [ Read More ]
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