Results 1 to 2 of 2

Can I bill exploration w/procedure? HANDS

  1. #1
    Pensacola , Florida
    Question Can I bill exploration w/procedure? HANDS
    Medical Coding Books
    Doc did and Exploration of extensor tendons left third and fourth fingers ... Can I bill for this ? What code ? Modifier?

    I am thinking the 26437 x3
    but I do not see any code for the exploration ??

    Here are the notes:

    1. Extensor tendon sagittal band attenuation.
    2. Subluxation of extensor digitorum communis.

    1. Exploration of extensor tendons left third
    and fourth fingers.
    2. Extensor tendon realignment of left third,fourth and fifth fingers.

    An oblique incision was made first over the dorsal hand distal to the extensor retinaculum. The extensor tendons evaluated in this area were noted to be intact although attenuated. An incision was made proximal to the extensor retinaculum. The EDC to middle, ring, and small were also identified, quite patulous. These were then shortened 0.5 cm with a 4.0 FiberWire. There was no evidence of rupture proximal or distal to the retinaculum. We then went distally performing an incision over the dorsal webspace of the third and fourth and then exposed the sagittal band. The extensor tendon did subluxate over the MP joint and was ulnarly subluxated. We then reefed the sagittal band, realigning the extensor tendon over the MP joint centrally with multiple sutures. Once completed realignment to the third and fourth, we then addressed the fifth finger in a likewise fashion. All wounds were irrigated. The skin was closed with 4-0 Prolene. His hand assumed a normal posture. A splint was applied. The patient was transferred to the recovery room in stable condition.

    Thank You !!

  2. #2
    Columbia, MO
    I do not see an exploration but he does state he shortend the EDC to the middle ring and small fingers
    26477 F2
    26477 F3
    26477 F4
    then with separate incision he perform the realignment
    26437 F2
    26437 F3
    26437 F4
    I do not remember if these are bundled so you will need to check that and if so use a 59 before the finger modifiers to unbundle since he does state separate incisions. hope this helps.

Similar Threads

  1. Pelvic exploration/non-laparoscopic and Prostate procedure
    By dtalamantes in forum Billing/Reimbursement
    Replies: 1
    Last Post: 02-03-2014, 02:20 PM
  2. how to bill for a procedure that was not performed
    By Pilarricaldi in forum Outpatient Facilities
    Replies: 1
    Last Post: 09-24-2013, 06:28 PM
  3. Can i bill for this procedure
    By in forum Interventional Radiology
    Replies: 9
    Last Post: 07-10-2013, 01:37 PM
  4. How to bill appropriate procedure code
    By NikhilCPC in forum Internal Medicine
    Replies: 1
    Last Post: 11-25-2011, 07:25 PM
  5. Can I bill an E&M for a scheduled procedure
    By zaidaaquino in forum Modifiers
    Replies: 11
    Last Post: 09-17-2008, 11:31 AM

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?


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.