wrist

  1. 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...
  2. A

    Question 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...
  3. M

    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...
  4. K

    Please help! Tendon ruptures repair with carpal tunnel release

    I need help coding the following: I don't know if I should code 64721,26440 and 26415, one or the other or what quantity. Right carpal tunnel release, exploration flexor tendons in right palm, side to side repair FDP ring finger to FDP long finger, end to side repair FDP right small finger...
  5. A

    Foreign body in wrist

    Does anyone know what direction I need to go in as far as coding an exploratory wrist procedure? The hub of the IV had fallen out and the angoicatheter was not attached. The concern was it had broken off in the wrist, after procedure, it was not found in the wrist. Would I use cpt 10121...
  6. C

    Default coding for Osteoarthritis

    Can anyone tell me if there is any literature that tells what the default codes are for osteoarthritis (unspecified, primary, secondary)? I have heard default is primary, I have heard you have to go to unspecified. Can anyone provide me with any proof/literature to support their position? i.e...
  7. C

    Default coding for Osteoarthritis

    Can anyone tell me if there is any literature that tells what the default codes are for osteoarthritis (unspecified, primary, secondary)? I have heard default is primary, I have heard you have to go to unspecified. Can anyone provide me with any proof/literature to support their position? i.e...
  8. C

    Wiki Default coding for Osteoarthritis

    Can anyone tell me if there is any literature that tells what the default codes are for osteoarthritis (unspecified, primary, secondary)? I have heard default is primary, I have heard you have to go to unspecified. Can anyone provide me with any proof/literature to support their position? i.e...
  9. T

    level 2 or 3??

    I am only getting a level 2 out of this??? what are everyone's thought of this?? am I missing something to make it a level 3??? I only see 3 elements on the hpi I got expanded HISTORY complete ros I got a DETAILED EXAM complete pfsh...
  10. R

    Comparison xray views

    What ICD10 would be used for a comparison view? Pt has left wrist pain and the doctor is xraying both wrists. She wants to check the variance of the right wrist. Thank you,
  11. A

    Hoverboard

    Hi Everyone! Wanted to see if I could get some opinions on coding for hoverboard accidents. We had a patient fall from a hoverboard over Christmas spraining his wrist. What external cause code would you use for the hoverboard?
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