jorgemendivil1
New
Procedure description
the right upper extremity was then prepped and draped in the usual sterile fashion. the tourniquet was inflated. An incision was made radially about the base of the thumb metacarpal and dissection was continued down to the APL tendon.
The tendons were retracted. An arthrotomy was performed to the carpometacarpal joint. The trapezium was identified and noted to have eburnated bone. The trapezium was the removed piecemeal using rongeurs. The flexor carpi radialis tendon was in the depths of the wound was intact. The trepeziectomy site was the irrigated to remove all bony fragments. A portion the trapezoid was debrided because of the arthritis, attention was then carried volarly about the distal forearm. 2 incisions were made to harvest the ulnar half of the FCR tendon. This tendon was brought through the depths of the trapeziectomy site. A drill hole was the place dorsal about the thumb metacarpal and exiting volar. Irrigation was then used. The FCR tendon was placed thought the hole in the metacarpal and the secured back to itself using vicryl sutures. Theis completed the suspensionplasty as well as ligament reconstruction. The remainder of the FCR tenson was then balled up in sutures were placed into it. The FCR tenson was then placed within the depths of the incision. There was excellent stability to the thumb metacarpal base. Irrigation was then used. The arthrotomy was closed with a capsular closure using vicryl sutures. All skin incisions were then repaired using nylon sutures. Marcaine was used in all incision sites. Sterile dressing was placed and thumb spica splint was placed. The tourniquet was then deflated. The patient was then awaken from anesthesia and teaken to the recovery room in stable condition. The patient tolerated the procedure well. All sponge and needle counts were correct at the end of the procedure.
Would this be considered as CPT 25448 as the suspensionplasty with the ligament reconstruction.
I know there was change in codes for 2025 but in 2024 this would have been coded with cpt 25447 and 26840?
thank you in advance!
gm
the right upper extremity was then prepped and draped in the usual sterile fashion. the tourniquet was inflated. An incision was made radially about the base of the thumb metacarpal and dissection was continued down to the APL tendon.
The tendons were retracted. An arthrotomy was performed to the carpometacarpal joint. The trapezium was identified and noted to have eburnated bone. The trapezium was the removed piecemeal using rongeurs. The flexor carpi radialis tendon was in the depths of the wound was intact. The trepeziectomy site was the irrigated to remove all bony fragments. A portion the trapezoid was debrided because of the arthritis, attention was then carried volarly about the distal forearm. 2 incisions were made to harvest the ulnar half of the FCR tendon. This tendon was brought through the depths of the trapeziectomy site. A drill hole was the place dorsal about the thumb metacarpal and exiting volar. Irrigation was then used. The FCR tendon was placed thought the hole in the metacarpal and the secured back to itself using vicryl sutures. Theis completed the suspensionplasty as well as ligament reconstruction. The remainder of the FCR tenson was then balled up in sutures were placed into it. The FCR tenson was then placed within the depths of the incision. There was excellent stability to the thumb metacarpal base. Irrigation was then used. The arthrotomy was closed with a capsular closure using vicryl sutures. All skin incisions were then repaired using nylon sutures. Marcaine was used in all incision sites. Sterile dressing was placed and thumb spica splint was placed. The tourniquet was then deflated. The patient was then awaken from anesthesia and teaken to the recovery room in stable condition. The patient tolerated the procedure well. All sponge and needle counts were correct at the end of the procedure.
Would this be considered as CPT 25448 as the suspensionplasty with the ligament reconstruction.
I know there was change in codes for 2025 but in 2024 this would have been coded with cpt 25447 and 26840?
thank you in advance!
gm