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Thread: hand help please

  1. #1
    Join Date
    Apr 2007
    Pensacola , Florida

    Default hand help please

    AAPC: Back to School
    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. #2


    Can code 26160 - 727.42

  3. #3
    Join Date
    Apr 2007

    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. #4


    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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