yvetteprater
Contributor
CPT code 26045 vs 26123. Insurance denying 26123 and 26125 as services billed not documented. Surgeon: In incision was made in the palm of the left hand beginning in the area of the proximal palmer flexion crease in line with the left small finger and extending as Y to V plasty incision towards the metacarpophalangeal joint flexion crease of the left small finger. At the metacarpophalangeal joint flexion crease, the incision was converted into multiple z plasties. Careful dissection was carried through the skin and subcutaneous tissues. Proximally, the pretendinous cord to the left ring finger was identified and released. The cord was traced from proximal to distal towards the ring finger. The Dupuytren tissue was excised and sent as specimen to the pathology lab. Great care... Once this pretendinous cord was excised, the ring finger was easily extended into full extension. Attention was then turned to the small finger. Same wording for small finger. Then he turns to the thumb and makes a separate Y-V plasty incision in the volar aspect of left thumb and across the metacarpophalangeal joint flexion crease. Pretendinous cord was excised. The thumb could be easily passively extended after excision of the Dupuytren cord. The Y-V plasties were converted and the z plasty flaps were rotated. The incisions were all closed. Coded:
26123-F4
26125-F3
26125-FA
They are denying the whole claim. Any help is appreciated.
26123-F4
26125-F3
26125-FA
They are denying the whole claim. Any help is appreciated.