Results 1 to 6 of 6

Excision Of Accessory Thumb

  1. #1
    Location
    Kansas City, Missouri
    Posts
    26
    Default Excision Of Accessory Thumb
    Medical Coding Books
    My surgeon did OP surgery to remove an accessory thumb. The only codes I can come up with are 11200 which seems too minor for this procedure, with 64702. Any other ideas? Thanks for your input! Report is below:
    An "X" ws drawn around the accessory thumb which was small and vestigial, but did have a full nailbed and mature nail attached to it. The ellipse was opened dorsally and dissection begun. There were vestiges of the extensor mechanism travelling to the accessory thumb. These were divided after being sure no neurovascular bundles were included. The major neurovascular bundle of the thumb was then approached and dissected distally until the major arterial and digital nerve branches to the accessory thumb were identified. These were then divided. Dissection was then performed in the volar direction until the flexor tendon was identified, and this was divided. The remaining soft tissue attachments and thumb palmar fascia was divided until the accessory thumb was completely free. The resulting elliptical opening was then primarily closed with 4-0 Ethilon.....

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    look at 26587 to see if that works for you


    Mary, CPC, COSC

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default No bone involved
    Mary,
    NOT my area of expertise, but ...
    I don't see that there was any excision of bone... 26587 specifies bone and then the parenthetical remark refers you to 11200 if it's soft tissue only.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Quote Originally Posted by FTessaBartels View Post
    Mary,
    NOT my area of expertise, but ...
    I don't see that there was any excision of bone... 26587 specifies bone and then the parenthetical remark refers you to 11200 if it's soft tissue only.

    F Tessa Bartels, CPC, CEMC
    You are correct, the suggestion was off the top of my head, I didnt actually look it up in the book to see the parenthetical note, I figured the poster could look at it and see any instruction

  5. #5
    Location
    Kansas City, Missouri
    Posts
    26
    Smile Thanks
    Thanks for confirming what I thought. Unfortunately it looks like the 11200 is the only code for this procedure. It's more work for the surgeon than it's reimbursement. I appreciate you looking at it with me.

  6. #6
    Location
    Milwaukee WI
    Posts
    4,466
    Default Add -22 modifier
    How about adding a -22 modifier to 11200? It's a long shot, but may be worth it. He certainly did more than snip off a skin tag.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. accessory tragus excision
    By Jamie Dezenzo in forum Outpatient Facilities
    Replies: 3
    Last Post: 09-23-2016, 11:25 AM
  2. Excision of accessory spleens??
    By tlnelson5 in forum General Surgery
    Replies: 0
    Last Post: 08-26-2010, 05:29 PM
  3. Replies: 0
    Last Post: 01-28-2010, 12:23 PM
  4. Excision of accessory puncta cpt code??
    By pjacobs in forum Pediatrics
    Replies: 2
    Last Post: 08-11-2009, 10:27 AM
  5. Cyst excision and tendon interposition, thumb
    By acodingangel in forum Orthopaedics
    Replies: 0
    Last Post: 01-21-2008, 03:17 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.