CPT for reduction of extensor tendon?

Deanine

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5
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Derry, NH
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ASSESSMENT AND PLAN: Right long finger extensor tendon subluxation. Plan is I have discussed the diagnosis and treatment options with the patient today, including the risks, benefits, and alternatives. She would like to proceed with a reduction under local anesthesia.
PROCEDURE: Under sterile prep and sterile technique, approximately 2 mL of 1% lidocaine was injected into the patient?s right long MCP around the joint, providing a digital block. Once anesthesia was achieved, the patient underwent a reduction with a manual manipulation in which the subluxed tendon was returned to its anatomical position. The patient tolerated the procedure well and immediately after the procedure her pain was significantly improved. She was able to extend the finger fully and make a fist several times, which revealed no evidence of further subluxation.

Does anyone have any insight on what the best code for this might be?

Thanks
 

jjhamer1

Guru
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Beaverton, Oregon Chapter
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Report states: reduction with a manual manipulation in which the subluxed tendon was returned to its anatomical position

I would code this as:
26705 - closed treatment of MCP dislocation, single w/manipulation; requiring anesthesia
 
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