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MCP joint pinning w/ basil thumb arthroplasty

  1. Red face MCP joint pinning w/ basil thumb arthroplasty
    Medical Coding Books
    Hello All,
    My doctor did an interposition arthroplasty for a basilar thumb joint (25447) but then does MCP joint pinning for MP jt. hyperextension laxity??? dx 715.34, 718.94

    Op note states:
    There was good stability to the trapezopmetacarpal joint. Once this was done, the MP joint of the thumb was held at approx 30 degrees of flexion in neutral, radial, and ulnar deviation. A small skin incision was made, w/ disccection down to the metacarpal. A 0.062 Kirschner wire was then inserted percutaneously, immobilizing the MCP joint in about 30 degrees. The joint was reduced nicely with the K-wire.

    Any thoughts?

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I believe this is inclusive of 25447.

  3. Default
    Thanks!

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