Cwirtalla
Contributor
My provider is wanting to code 26236 for this procedure due to the removal of the associated osteophyte. I think that 26160 would be the more appropriate code. I am looking for thoughts on which would be the CPT code for this procedure.
OPERATIVE REPORT:
After the patient and operative site were identified and marked in the preoperative holding area, the patient was brought to the operating room. The patient was kept supine on the stretcher with a rolling hand table. A non-sterile tourniquet was applied to the operative arm. A WHO timeout was performed. Anesthesia was induced. The patient was then prepped and draped in the standard fashion. 2G Ancef was administered.
A digital block was performed with 1% lidocaine for a total of 10 cc using a 25-gauge needle.
A finger tourniquet was applied to the operative digit. A chevron incision was then made centered over the cyst. Skin flap were elevated. The cyst was skeletonized down to the stalk emanating between the terminal extensor and the collateral ligament. A window of joint capsule including the stalk was excised sharply down to the DIP joint. A rongeur was used to take down the associated osteophyte. The joint was stressed to ensure the radial and ulnar collateral ligaments are indeed stable. The finger tourniquet was then released.
After meticulous hemostasis was achieved, the skin edges were approximated using 5-0 nylon sutures. The incision was dressed with bacitracin, adaptic and sterile gauze and a loosely fashioned Coban wrap. There were no complications.
OPERATIVE REPORT:
After the patient and operative site were identified and marked in the preoperative holding area, the patient was brought to the operating room. The patient was kept supine on the stretcher with a rolling hand table. A non-sterile tourniquet was applied to the operative arm. A WHO timeout was performed. Anesthesia was induced. The patient was then prepped and draped in the standard fashion. 2G Ancef was administered.
A digital block was performed with 1% lidocaine for a total of 10 cc using a 25-gauge needle.
A finger tourniquet was applied to the operative digit. A chevron incision was then made centered over the cyst. Skin flap were elevated. The cyst was skeletonized down to the stalk emanating between the terminal extensor and the collateral ligament. A window of joint capsule including the stalk was excised sharply down to the DIP joint. A rongeur was used to take down the associated osteophyte. The joint was stressed to ensure the radial and ulnar collateral ligaments are indeed stable. The finger tourniquet was then released.
After meticulous hemostasis was achieved, the skin edges were approximated using 5-0 nylon sutures. The incision was dressed with bacitracin, adaptic and sterile gauze and a loosely fashioned Coban wrap. There were no complications.