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Wiki Synovectomy and Neurectomy

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angelica@advancedrevenue.com

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I'm currently in the learning process of orthopedics coding and am stuck on a operative procedure.

procedure performed:

1. Right radiocarpal and midcarpal joint open synovectomy, complete
2. Right extensor tendon compartment tenosynovectomy 2nd, 3rd, and 4th dorsal extensor tendon compartment
3. Anterior and Posterior interosseous nerve neurectomy, open right

I came up with 25105 for first procedure and 25118,25118-59,25118-59 for 2nd procedure

any help would be greatly appreciated.

Thanks
 
I would seriously query your physician about the "neurectomy" he put in his procedural list. "Neurectomy" literally means "removal of the nerve." Is this really what he did, or did he mean something else, like neurolysis (freeing the nerves from scar tissue or inflamed synovium)?

Alan Pechacek, M.D.
 
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