Wiki Trapezium Excision with Metacarpal Suspension

[KStaten]

Hello, Everyone.

For a patient with OA in the carpometacarpal joint, the provider performed a "Trapezium Excision with Metacarpal Suspension."

• Incision made on radial aspect of hand / wrist starting at base of first metacarpal extending to radial styloid
• Sharp dissection was made through skin and subcutaneous tissues
• Sensory nerves/ tendons identified and protected
• Joint capsule incised and reflected off the trapezium
• Trapezium dissected free from soft tissue and removed; no remnant bone found
• Thumb was held in abduction with slight traction and secured in position with suture anchors from base of second metacarpal with a SutureTape suture, which was then placed on first metacarpal (good suspension)
• Wound was irrigated well and closed with sutures
• Placed in thumb spica splint

Would this be coded simply as the excision code 25210?

Thank you in advance!
Kim

 

[jeskla]

25447

 

[Orthocoderpgu]

Hello, Everyone.

For a patient with OA in the carpometacarpal joint, the provider performed a "Trapezium Excision with Metacarpal Suspension."

• Incision made on radial aspect of hand / wrist starting at base of first metacarpal extending to radial styloid
• Sharp dissection was made through skin and subcutaneous tissues
• Sensory nerves/ tendons identified and protected
• Joint capsule incised and reflected off the trapezium
• Trapezium dissected free from soft tissue and removed; no remnant bone found
• Thumb was held in abduction with slight traction and secured in position with suture anchors from base of second metacarpal with a SutureTape suture, which was then placed on first metacarpal (good suspension)
• Wound was irrigated well and closed with sutures
• Placed in thumb spica splint

Would this be coded simply as the excision code 25210?

Thank you in advance!
Kim

Code 25447 is for an interposition arthroplasty, this is a suspension arthroplasty. The carpectomy, 25210, is part of the procedure. Look at 25332.