AAPC - Back to school
Results 1 to 3 of 3

Thread: Scaphoid non-union

  1. #1
    Join Date
    Apr 2007

    Default Scaphoid non-union

    AAPC: Back to School
    The repair of non-union scaphoid carpal, code 25440, does not do it for me? Any suggestions? I'm stuck.

    NAME OF OPERATION: Arthroscopic debridement of wrist and excision of distal pole of scaphoid and capsulodesis.

    INDICATIONS: This gentleman has a history of a scaphoid non-union and has persistent pain in his wrist and is here for the above-listed procedures.

    The wrist was arthroscoped. There was redundant capsular tissue dorsally and volarly at the area of the radioscaphoid ligament. This was debrided arthroscopically. The mid carpal portal was then utilized and the scapholunate joint was stable. An open incision was then made in curvilinear fashion over the dorsal aspect of the wrist. The distal pole of the scaphoid was excised through the capsular tissue present. Two holes were made through the distal pole of the scaphoid and the capsular tissue was sutured to the volar aspect of the scaphoid with 2-0 Mersilene. .

  2. #2
    Join Date
    Apr 2007


    unfortunately thats your only option. Also dont forget to use the "convert to open" dx code
    Mary, CPC, CANPC, COSC

  3. #3
    Join Date
    Apr 2007


    Thanks Mary, I went with that code, and thanks for reminding me of the dx code too!

Similar Threads

  1. repair of metarsals non-union and mal-union
    By srbarandela in forum Podiatry
    Replies: 2
    Last Post: 10-19-2011, 04:33 PM
  2. scaphoid trapezoid fusion
    By Lliza71 in forum Orthopaedics
    Replies: 0
    Last Post: 05-11-2011, 02:47 PM
  3. mal-union & non-union
    By Zellerdh in forum Orthopaedics
    Replies: 2
    Last Post: 10-29-2009, 11:43 AM
  4. Please help w/scaphoid excision
    By Justarose in forum Outpatient Facilities
    Replies: 1
    Last Post: 03-03-2009, 07:29 AM
  5. scaphoid fracture
    By sumrgirl in forum Orthopaedics
    Replies: 4
    Last Post: 11-10-2008, 01:12 PM

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.