tendon

  1. KStaten

    Question Billing 20550 (or 20551) with 20610

    Hello, Everyone! :giggle: As usual, I have a 2-part question and would appreciate your help. 1) When 20550 (or 20550) is being billed with 20610 for two separate body parts, which modifiers would be used? Example: tendon sheath injection, left elbow bursa injection, right knee 2) Also... I...
  2. A

    26356 Tendon repair and casting

    Hi, My doc did a tendon repair 26356 and applied splinting 29125 the same day. I know that there is a note that splinting, unless replacement, is not allowed same day as restorative treatment, however when checking CCI 26356 and 29125 (splinting) can be billed together. Does the rule on...
  3. K

    25310 vs. 26480

    Hello all! I am wondering what tendon transfer code you use for a CMC joint arthroplasty? I always thought we code from where the tendon is taken, so if Doc is harvesting the FCR tendon from the wrist/forearm we would code 25310. However, the doctor has a really old hand code book that has a 1...
  4. A

    Synovectomy and Neurectomy

    I'm currently in the learning process of orthopedics coding and am stuck on a operative procedure. procedure performed: 1. Right radiocarpal and midcarpal joint open synovectomy, complete 2. Right extensor tendon compartment tenosynovectomy 2nd, 3rd, and 4th dorsal extensor tendon...
  5. Y

    How would you code this?- after tourniquet

    A posterolateral incision was made after tourniquet was elevated. The tendon was exposed laterally and the large Haglund's deformity was exposed. It was noted that the chronic tendonitis at the insertion had caused attenuation of the attachment of the tendon and there were great thinning of...
  6. M

    Need help- DX code POSTOPERATIVE DIAGNOSIS: Right non-healing Achilles tendon wound

    Hello, Can anyone help with a dx code for Right non-healing Achilles tendon wound? This is post op wound complications. Thank you in advance:) Micki
  7. T

    please help with patellar ossicle excision!

    Doc splits the patellar tendon and then uses the ronguer to excise the ossicle. wax was placed on the distal aspect of the patella from which the ossicle had been excised. Then tendon then was repaired with suture and buried. I am stumped by this case. Should I be looking at 27360, 27355 or...
  8. R

    Biceps tendon exploration

    Surgery was scheduled for bicep tendon repair based upon MRI. However, when the surgeon got in there a tear was not found so all that was done was an exploration. I need help with the CPT for that. We originally filed this as unlisted and compared to 24341 but Cigna denied and tells us...
  9. 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...
  10. 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...
  11. C

    Posterior Tibial Tendon Tubularization

    Need Help with CPT code for this procedure: Debridement and tubulariztion of posterior tibial tendon of ankle Procedure Note: The patient was brought into operative theater and placed in supine position. She was given general anesthesia and ancef intravenously. Left ankle was prepped and drped...
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