Wiki Tenosynovectomy with possible tendon Repair

MickyHowe

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Good morning,
Hi , my provider is asking for codes for a tenosynovectomy with possible tendon repair. Based on the information below, my thoughts are 26445 and potential 25260. Can anyone confirm?
The dx is M65.842 (other synovitis and tenosynovitis in the left hand). The exam note states: Left hand dorsal palpable mass measuring approximately 4x2.5 cm that is mobile and mild tenderness palpation. Pain with wrist and finger extension. Active extension against resistance AIN/PIN/UN intact, SILT C5-T1, cap refill brisk. Left extensor digitorum communis tendon to the middle finger at the wrist: tenderness to palpation..Left extensor digitorum communis tendon to the middle finger at the wrist: full composite flexion and extension of the digits. Review of the MRI of the left wrist demonstrating severe extensor tenosynovitis of the extensor digitorum tendons with some tendinosis present. The surgery discussed was a left hand tenolysis of her extensor tendons with possible tendon repair.
 
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