hand coding

  1. K

    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...
  2. K

    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...
  3. K

    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...
  4. K

    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...
  5. K

    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...
  6. K

    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...
  7. E

    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
  8. K

    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...
  9. K

    Question 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...
  10. K

    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...
  11. Set_Apart

    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...
  12. C

    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...
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