hand

  1. 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
  2. L

    Extensor Retinaculum Lengthening

    Provider performed lengthening of the extensor retinaculum overlying the fourth dorsal compartment following excision of extensor tendon intrasubstance ganglion cyst from dorsal hand. Although the cyst had been addressed, it was felt appropriate to slightly lengthen the extensor retinaculum...
  3. S

    Hand infection debridement

    Does anyone know what the appropriate CPT code would be for an irrigation and debridement of deep palmar infection of the hand? OP report says: "First, I slowly cleaned the hand of chronic purulence that was stuck into the palm. Despite a preoperative scrub and sterilization, there was still...
  4. L

    Not your normal question CTS release with Tenosynovectomy

    Hello all, I have been researching this topic, however most of the information I have found (even in these forums) are a few years old and/or have information backwards. Plus I am wanting to get a general idea what everyone is doing now, in 2018. I am aware that 64721 bundles into 25115 when...
  5. K

    15600 vs 15620

    Hello, the MD thinks this should be coded as 15600 as the flap came from the trunk. I think it should be coded as 15620 as the flap was for the hand (with modifiers 58 & LT). Please let me know your thoughts. Thank you! PREOPERATIVE DIAGNOSIS: Status post groin flap, left hand. ...
  6. J

    AV fistula

    Hello fellow coders, The following had me stumped for the last few days. AV fistula with R hand Ischemia? any help would be greatly appreciated
  7. R

    squameous cell carcinoma

    Unsure on how to code squameous cell carcinoma, dorsal right hand, thumb side.
  8. M

    hand/finger tendon conrtractures

    I am trying to code a hand/finger surgery in which the surgeon did a release of tendons. Its on the right hand and each finger had 2 tendons, except the thumb which only had one. I have coded by just using 9 units and received a denial and I have also listed each tendon with a finger modifier...
  9. M

    flexion hand contractures and felxor tendons

    I am trying to code a hand/finger surgery in which the surgeon did a release of tendons. Its on the right hand and each finger had 2 tendons, except the thumb which only had one. I have coded by just using 9 units and received a denial and I have also listed each tendon with a finger modifier...
  10. D

    26720 fracture coding help

    patient has two broken fingers on the same hand would I bill 26720 by itself or 26720 with 2 units
Top