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hand coding

J
Wiki Custom fabricated thumb spica splints

Hi-- I am not familiar with Occupational therapy splint codes. The Occupational therapist is making thumb spica splints out of raw material and is using HCPCS code L3808. Optum has denied stating that it's the incorrect code. Should I be using CPT 29125 with the -Q code for material? Below is...
- jhaleycoder
- Thread
- Jul 30, 2025
- hand coding occupational therapy orthopedic splint application thumb spica
- Replies: 1
- Forum: Orthopaedics
J
Wiki Hand Surgery Help-- Finger/ Hand Tenolysis surgery

Hi-- If anyone could please help me. Aetna has denied the surgery as Operative Report does not support. All CPT codes have been denied. The operative report below was sent to Aetna. I am not sure if I am missing something. The CPT codes billed are 25295/59, LT (2 units), 26445/51,F1, and...
- jhaleycoder
- Thread
- Jul 28, 2025
- hand coding hand specialist hand surgery ortho help orthopedic orthopedic coding orthopedic surgery
- Replies: 2
- Forum: Orthopaedics
J
Wiki EPL tendon extra-retinacular transposition wrist surgery Coding help

Hi- Can anyone help me with coding this surgery. I am leaning towards CPT 25310, 25270 The patient identification, operative site, and operative procedure were verified with the patient preoperatively in the holding area and again at the safety pause in the operating room. The patient was...
- jhaleycoder
- Thread
- Apr 14, 2025
- hand coding hand specialist hand surgery ortho help orthopedic question orthopedic surgery
- Replies: 4
- Forum: Orthopaedics
J
Wiki Hand Surgery Coding Help

Coding help! Hands surgery. UHC has denied the CPT codes billed as not documented? I am lost? The codes billed are 26445, 64772, 25295. If someone could please give me second opinion. The operative report is below: Postoperative Diagnosis Left wrist retained hardware (volar plate and dorsal...
- jhaleycoder
- Thread
- Feb 4, 2025
- denial hand coding hand specialist hand surgery ortho help orthopedic orthopedic surgery
- Replies: 3
- Forum: Orthopaedics
K
Wiki HELP! anterior interosseous nerve to motor branch of ulnar nerve transfer

I want to code 64718, 64719, and 69990, but my doc wants another CPT code for the anterior interosseous nerve transfer. Isn't it included or am I missing another code? 1.Right cubital tunnel release with anterior subcutaneous transposition of the ulnar nerve. 2. Decompression of ulnar nerve...
- kmuth
- Thread
- Jan 5, 2022
- hand coding help nerve transfer orthopaedic
- Replies: 1
- Forum: Orthopaedics
K
Wiki Intrinsic release of the index middle ring and small finger/opponens pollicis release

I am not 100% sure on how I should code this, but I am thinking 26593x4 and 26440 for the opponens release. Any advice is appreciated! POSTOPERATIVE DIAGNOSIS(ES): Volkman's contracture of the left hand PROCEDURE: Intrinsic release of the index middle ring and small finger and release of the...
- kmuth
- Thread
- Oct 13, 2021
- hand coding hand specialist hand surgery intrinsic opponen ortho orthopaedics
- Replies: 0
- Forum: Orthopaedics
K
Wiki Fasciectomy/Contracture/ Partial Palmar

Can someone please direct me with the coding. Would you code 26123 and 26125? F8 &F9? Insurance is saying the codes are not supported. Any help is appreciated. Preoperative diagnosis: Dupuytren's disease right hand with significant MP joint contractures of the ring finger small finger and a...
- kmuth
- Thread
- May 13, 2021
- dupuytren fasciectomy hand coding orthopaedic
- Replies: 1
- Forum: Orthopaedics
K
Wiki Cross-finger flap with split thickness skin graft

Please help! I am not sure if I should code 15574 or 14350 for the cross finger flap and 15100 for the graft? Amputation of tip of right long finger with exposed distal phalanx. OPERATION PERFORMED: Cross-finger flap from right ring finger to right long finger and split-thickness skin graft...
- kmuth
- Thread
- Mar 17, 2021
- finger amputation hand coding orthopaedic skin flaps skin graft
- Replies: 0
- Forum: Orthopaedics
K
Wiki External Neurolysis

I need advice as I have never coded an external neurolysis. I know internal would be the primary cpt plus 64727, but would this be 64708? PREOPERATIVE DIAGNOSIS: Laceration to the left index finger dorsal aspect in the MP joint area. POSTOPERATIVE DIAGNOSIS: Laceration to the left index finger...
- kmuth
- Thread
- Oct 30, 2020
- external neurolysis hand coding orthopaedic
- Replies: 2
- Forum: Orthopaedics
K
Wiki Excision dupuytren's nodule & trigger finger release

My doc wants me to bill for the trigger finger portion and the nodule excision, but I feel like the nodule was incidental? Am I incorrect? Preoperative diagnosis: Right long trigger finger Dupuytren's nodule Postoperative diagnosis: Right long trigger finger Dupuytren's nodule Operation...
- kmuth
- Thread
- Oct 21, 2020
- dupuytren's nodule hand coding orthopaedic trigger finger
- Replies: 4
- Forum: Orthopaedics
E
Wiki Defining radical in 26145

Hello, I am looking for help in defining what constitutes a Radical Tenosynovectomy and when to use 26145. Does the surgeon need documentation of pathological tenosynovium for code 26145? Thank a You in advanced, Eva Wade CPC-A
- Evaxtine
- Thread
- Sep 17, 2020
- 26145 code 26145 hand hand coding ortho orthopedic orthopedic coding
- Replies: 0
- Forum: Medical Coding General Discussion
K
Wiki Excision of mass left small finger, left carpal tunnel release

How would you code this? I am reading mucoid degeneration and he keeps extending the incision, but I don't think an actual cyst was removed. The carpal tunnel was not planned, can I bill it with the cyst excision 26160 or should I bill the arthrotomy with exploration 26070-26080? Preoperative...
- kmuth
- Thread
- Sep 17, 2020
- carpal tunnel hand coding ortho specialty coding orthopaedic
- Replies: 1
- Forum: Orthopaedics
K
Wiki Finger Capsulotomy/ Tenolysis

I don't like hand coding and would love any webinar recommendations, or just general reading information to help me dive deeper. This doc tends to lack details/ dictation but when queried he doesn't respond or will say don't bill it. With this surgery I just don't think there is enough details...
- kmuth
- Thread
- Aug 4, 2020
- capsulotomy hand coding orthopaedic tenolysis
- Replies: 1
- Forum: Orthopaedics
K
Wiki Repair extensor pollicis longus left hand

I was just wondering if I can only code the repair 26418 or if I can also code the exploration. POSTOPERATIVE DIAGNOSIS(ES): Extensor pollicis laceration left hand PROCEDURE: Surgical exploration of the wound, repair of the extensor pollicis longus left hand INDICATIONS: Patient suffered a...
- kmuth
- Thread
- Jul 30, 2020
- extensor hand coding hand specialist orthopaedic
- Replies: 3
- Forum: Orthopaedics
M
Wiki Excision of Osteophyte from DIP 26080 vs 26236 vs 26210

Hello, I would greatly appreciate another coder's opinion on how they would code the following op report? A longitudonal incision was made from the nail fold proximally in the midlateral line after elevating the upper nail fold from the nail plate with a freer elevator. A full thickness skin...
- MI_CODER
- Thread
- Oct 31, 2017
- hand coding interphalangeal joint orthopedic coding
- Replies: 3
- Forum: Orthopaedics
C
Wiki Exam Components for E/M

Dr. does a Physical Exam on his patients for these following areas: General (Constitutional) Head Eyes Ears, nose, mouth, throat Extremities (Excluding a separate hand exam that he documents seperatly, below) Neuro Skin He then usually does a Normal Wrist exam for Carpal Tunnel (He is a hand...
- codi.zeibig@gmail.com
- Thread
- Oct 12, 2016
- e/m exam extremity hand coding muscu
- Replies: 3
- Forum: E/M

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