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hand help please

  1. #1
    Pensacola , Florida
    Default hand help please
    Medical Coding Books
    seems simple enough ...but I am stuck

    1. Left third palmar mass.
    2. Stenosing tenosynovitis, left third finger.

    PROCEDURE PERFORMED: Left third palmar mass excision with A1 pulley release.

    Following successful administration of anesthesia, the left upper extremity was prepped and draped in a clean and sterile fashion after administration of a digital block. We then held the arm against gravity and insufflated the tourniquet to 250 mmHg, and I used the palmar flexion crease and incorporated that into my incision and under loupe visualization dissected down through the A1 pulley. I found a large retinacular cyst coming just distal to the A1 pulley. I found the radial and ulnar digital nerves and protected these. I then incised the A1 pulley and removed the retinacular cyst. The FDS tendon was a bit frayed, but overall in good condition. It was normal in appearance. I copiously irrigated the wound and closed with 5-0 Prolene stitch. A bulky dressing with Coban was applied, and the patient was awoken from anesthesia having tolerated the procedure well and was transferred to the recovery room in a stable condition. Our sponge, instruments, and needle counts were correct at the completion of the procedure.

    I am just really confused on this ...his ops always do that to me .. thanks for your help !

  2. Default
    Can code 26160 - 727.42

  3. #3
    Thumbs up icd
    what doubt about it! its correct link 26160(Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger) - 727.42(Ganglion Of Tendon Sheath).
    Dr.Jeevanantham Mariappan PT.,MD (A.M).,CPC.,
    Six Sigma - GB

  4. Lightbulb
    i wil code 26160 , 26055-59 since A1 PULLEY release done for tenosynovitis[triggerfinger] - 26055 and cyst on palmar crease - 26160

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