hand question

Jamie Dezenzo

True Blue
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Mishawaka, IN
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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???

Thanks!
Jamie
 

bethh05

Expert
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The removal of the infected synovium was due to the foreign body, wouldn't that be inclusive to the foreign body removal? :confused:
 
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