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Billing 25447 with 26480

  1. Default Billing 25447 with 26480
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    Good morning,

    We have been receiving denials on 25447 with 26480, anybody else having this problem? Does anyone have any ideas?


  2. #2
    lawrence, kansas
    Hello, the tendon transfer is included in CPT 25447. The trapezium is removed and the tendon is grafted and tunneled through the space where the trapezium used to be...very interesting procedure. Per the Coder's Desk Reference for CPT 25447 " The trapezium and possibly the base of the first metacarpal are excised and the interposition material, usually either a piece of harvested tendon or fascia, is inserted in the defect." CPT 26480 will always bundle with 25447. If you have additional questions regarding this, please feel free to let me know.
    Ryan Raich, CPC COSC
    Lawrence, Kansas Chapter President

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