finger FB with synovectomy

Jamie Dezenzo

True Blue
Best answers
Hello all!!!
Op note reads:

Pre/Post DX: finger flexor synovial infection with foreign body

Patient suffered pendtrating injury to finger a month ago (cultures show no infection)

Procedure: Finger Flexor synovectomy with foreign body removal

A V-shaped incision was made in the 5th finger, skin flap elevated. Dissection carried through skin and subcutaneous tissue. There was a 7/8 inch long wooden splinter penetrating into the flexor sheath with infection and inflammation of the flexor synovium. A radical flexor synovectomy was carried out in the digit, extending into the palm. Tissue was sent for aerobic and anaerobic culture. The wooden splinter was given to the patient.

Do I bill both 20520 and 26145? and what dx to use for 26145???