My doctor is billing cpt code 24343 and 24357 but reading the op report look like maybe it should be 24343 and 24359. But can those two be billed together when through the same incision? Any opinions. Thanks a bunch!!
A 2-cm incision was made anterior to the right lateral epicondyle. Soft tissue dissection was carried down to the common extensor tendon. The common extensor tendon was split in line with its fibers beginning at the lateral epicondyle and moving distally down to the radiocapitellar joint. The extensor carp radialis brevis was uncovered and noted to have a significant hyperemia indicating a tear and an attempt to heal. There was also a large Nirschl lesion. The Nirschl lesion was excised in its entirety and the tendon was repaired back to the bone with an arthrex anchor and its accompanied Fiber Wire suture, which was also repaired back to itself with running locked Ethibond suture. The subcu was closed with 2-0 Vicryl.
A 2-cm incision was made anterior to the right lateral epicondyle. Soft tissue dissection was carried down to the common extensor tendon. The common extensor tendon was split in line with its fibers beginning at the lateral epicondyle and moving distally down to the radiocapitellar joint. The extensor carp radialis brevis was uncovered and noted to have a significant hyperemia indicating a tear and an attempt to heal. There was also a large Nirschl lesion. The Nirschl lesion was excised in its entirety and the tendon was repaired back to the bone with an arthrex anchor and its accompanied Fiber Wire suture, which was also repaired back to itself with running locked Ethibond suture. The subcu was closed with 2-0 Vicryl.