hand surgery

  1. 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
    • hand coding hand specialist hand surgery ortho help orthopedic orthopedic coding orthopedic surgery
    • Replies: 2
    • Forum: Orthopaedics
  2. 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
    • hand coding hand specialist hand surgery ortho help orthopedic question orthopedic surgery
    • Replies: 4
    • Forum: Orthopaedics
  3. 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
    • denial hand coding hand specialist hand surgery ortho help orthopedic orthopedic surgery
    • Replies: 3
    • Forum: Orthopaedics
  4. A

    Wiki Hand surgery question

    Hello everyone, I am in need of your help. Hand surgery is a struggle for me. I find it difficult but I get them billed and they have been getting thus far, so I guess I am not messing up as badly as I think. However, I have this particular surgery that has me stumped and I am seeking your...
  5. 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
    • hand coding hand specialist hand surgery intrinsic opponen ortho orthopaedics
    • Replies: 0
    • Forum: Orthopaedics
  6. S

    Wiki Wrist Surgery - Subsheath Tissue Repair/Stabilization with Fascial Flap

    Hey my fellow coders! I am needing your help! I'm thinking the CPT is 25275 but it seems the provider did more work then just a tendon sheath repair. Would this be a reconstruction, 25320? Preop Dx: Right ulnar wrist pain Postop Dx: 1. right extensor carpi ulnaris longitudinal tendon tear 2...
    • SavCoder
    • Thread
    • extensor carpi ulnaris hand surgery orthopeadic reconstruction subsheath repair tendon rapair wrist
    • Replies: 0
    • Forum: Orthopaedics
  7. C

    Wiki PIP fracture Dislocation Surgery report help

    Please help advise me on this procedure. My physician likes to review his surgery coding before they get submitted to insurance and approved the codes billed out. He does this procedrue quite frequently and we always use 26535, Same diagnosis, same procedure. He is now wanting me to use 26746...
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