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  1. #1
    Question Decompression
    Medical Coding Books
    I need help I have a Dr that did a decompression of the syndesmosis from scar tissue and adhesions and I am not sure how to code that they also did a decompression deep peroneal nerve. The op report states

    Attention was directed over the syndesmosis where approximately a 3 to 3.5 inch linear incision was made from the syndesmosis distally along the lateral malleus. The incision was deepened via sharp and blunt dissection with all vital structures identified, retracted and ligated as necessary. There was no sign of any sharp tissue mass or organized mass as far as a distinct ganglion or lipoma type tissue. There were adhesions surrounding the syndesmosis with possibility of entrapment of the superficial peroneal nerve in this area. This was freed from surrounding tissure.

    Any suggestions would be great!!!! Thanks and have a great day!!!


  2. #2
    One of my doctors just did a surgery very similar as yours and we came to agreement of using CPT: 64704 Neuroplasty; nerve of hand or foot.

    The header in CPT states neuroplasty is the decompression or freeing of intact nerve from scar tissue, including external neurolysis and/or transposition.
    Last edited by TammyHF; 09-17-2009 at 05:56 AM.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  3. #3
    Thank you very much for your help


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