• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Trigger finger/FDS repair both billable ?

Barbs63

Networker
Messages
33
Location
Drums, PA
Best answers
0
I need some guidance - some articles say you can bill both 26055 (59)TFR along with flexor digitorum superficialis repair 26350
The insurance is a medicare advantage - that leads me directly to just 26350, but then maybe I have missed something.
Here is a part of the note: The patient has severe tendinosis with longitudinal tearing & fraying of the fds both proximal, distal and under the A1pulley. Debrided and repaired.
History: the patient had a fall -as a result she also had an orif of the distal radius repaired during the same session.

I am looking at : 26350 - M66.341 and 25609 S52.561A
opinions please
Thanks Barb
 
Just ran this through 3M and it doesn't hit any edits - I haven't looked directly at the NCCI spreadsheets... but I would code 25609-lt/rt and 26350,51,lt/rt
 
Top