Hi, need help coming up with a code for this procedure:
(I'm thinking 26180?)
Post-op Diagnoses:
1. Ganglion cyst intra-tendonous, EDC to the middle finger
2. Ganglion cyst intra-tendonous, EDC to the index finger
Procedure(s) Performed:
1. Excision ganglion cyst right middle finger extensor tendon
2. Excision ganglion cyst right index finger extensor tendon
There was an extensor tendon ganglion cyst, within the tendon involving the EDC to both the middle finger and index finger. They were approximately 1 cm each, bulbous, and within the tendon. The extensor tendon to the middle finger and index finger were each separately incised longitudinally over the area of the cyst. Clear gelatinous fluid, consistent with benign ganglion. Cysts were excised from within the tendon longitudinally, the tendon itself, longitudinal integrity remained. This was sent as part of specimen. Wound thoroughly irrigated. Tendon repair not needed.
No other abnormality noted. Wound was irrigated once again. Extensor tendons were placed back in the normal position. Extensor retinaculum was closed with inverted, interrupted Vicryl.
Skin was closed with inverted Vicryl followed by a running Monocryl and Steri-Strips. Tourniquet was deflated prior to closure to assure meticulous hemostasis. All fingers warm and well perfused. Sterile dressing was placed with a small volar splint. Patient was awoken from sedation and taken to the post anesthesia recovery in good condition. No complications.
TIA!!
(I'm thinking 26180?)
Post-op Diagnoses:
1. Ganglion cyst intra-tendonous, EDC to the middle finger
2. Ganglion cyst intra-tendonous, EDC to the index finger
Procedure(s) Performed:
1. Excision ganglion cyst right middle finger extensor tendon
2. Excision ganglion cyst right index finger extensor tendon
There was an extensor tendon ganglion cyst, within the tendon involving the EDC to both the middle finger and index finger. They were approximately 1 cm each, bulbous, and within the tendon. The extensor tendon to the middle finger and index finger were each separately incised longitudinally over the area of the cyst. Clear gelatinous fluid, consistent with benign ganglion. Cysts were excised from within the tendon longitudinally, the tendon itself, longitudinal integrity remained. This was sent as part of specimen. Wound thoroughly irrigated. Tendon repair not needed.
No other abnormality noted. Wound was irrigated once again. Extensor tendons were placed back in the normal position. Extensor retinaculum was closed with inverted, interrupted Vicryl.
Skin was closed with inverted Vicryl followed by a running Monocryl and Steri-Strips. Tourniquet was deflated prior to closure to assure meticulous hemostasis. All fingers warm and well perfused. Sterile dressing was placed with a small volar splint. Patient was awoken from sedation and taken to the post anesthesia recovery in good condition. No complications.
TIA!!
