Wiki Excision of distal tip of tuft

[sla696]

I have a physician wanting to bill 26952 (Amputation, finger with local advancement) However, the documentation states,

" Avulsion distal 1/2 of the nail bed and 5 mm margin of the tip of the pulp. The distal tip of the tuft was excised with a bone rongeur. This allowed closure of the tip without tension. A small portion of the volar flap was excised and trimmed and fish mouth opening created on the ulnar side of the amputated finger tip. Tip was closed with interrupted 6-0 vicryl sutrues."

Any suggestions would be greatly appreciated. Thanks

 

[mbort]

it doesnt seem to me that he actually amputated any portion of the joint (bone/phalanx) that it is more soft tissue. If that is the case I would probably refer to the parenthetical note that is under 26952 that refers you to 15050-15758.