IRISHCODER
Networker
My surgeon did OP surgery to remove an accessory thumb. The only codes I can come up with are 11200 which seems too minor for this procedure, with 64702. Any other ideas? Thanks for your input! Report is below:
An "X" ws drawn around the accessory thumb which was small and vestigial, but did have a full nailbed and mature nail attached to it. The ellipse was opened dorsally and dissection begun. There were vestiges of the extensor mechanism travelling to the accessory thumb. These were divided after being sure no neurovascular bundles were included. The major neurovascular bundle of the thumb was then approached and dissected distally until the major arterial and digital nerve branches to the accessory thumb were identified. These were then divided. Dissection was then performed in the volar direction until the flexor tendon was identified, and this was divided. The remaining soft tissue attachments and thumb palmar fascia was divided until the accessory thumb was completely free. The resulting elliptical opening was then primarily closed with 4-0 Ethilon.....
An "X" ws drawn around the accessory thumb which was small and vestigial, but did have a full nailbed and mature nail attached to it. The ellipse was opened dorsally and dissection begun. There were vestiges of the extensor mechanism travelling to the accessory thumb. These were divided after being sure no neurovascular bundles were included. The major neurovascular bundle of the thumb was then approached and dissected distally until the major arterial and digital nerve branches to the accessory thumb were identified. These were then divided. Dissection was then performed in the volar direction until the flexor tendon was identified, and this was divided. The remaining soft tissue attachments and thumb palmar fascia was divided until the accessory thumb was completely free. The resulting elliptical opening was then primarily closed with 4-0 Ethilon.....
