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Thread: MCP joint pinning w/ basil thumb arthroplasty

  1. #1

    Red face MCP joint pinning w/ basil thumb arthroplasty

    AAPC: Back to School
    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
    Join Date
    Apr 2007


    I believe this is inclusive of 25447.

  3. #3



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