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Ortho Coding ?

  1. #1
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    Lafayette, LA
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    Default Ortho Coding ?
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    My doctor is a hand specialist. He did an ORIF of a dislocated metacarpal phalangeal joint. He also did a reconstruction of the ulnar and radial sagittal bands and of the dorsal capsule. I have looked for a CPT code for the reconstruction but am unable to find one. I think that this is part of the primay procedure but I have another physician who thinks otherwise. HELP!!

  2. Default
    Quote Originally Posted by miller9499 View Post
    My doctor is a hand specialist. He did an ORIF of a dislocated metacarpal phalangeal joint. He also did a reconstruction of the ulnar and radial sagittal bands and of the dorsal capsule. I have looked for a CPT code for the reconstruction but am unable to find one. I think that this is part of the primay procedure but I have another physician who thinks otherwise. HELP!!
    here are some suggestions from the Hand Sociaty


    Sagittal band rupture / MCP Extensor subluxation reconstruction Codes

    Rupture, hand/wrist extensor tendon (727.63)
    Immobilization muscle contracture of ________ (728.3)
    Contracture of joint, hand/fingers (718.44)
    Rheumatoid arthritis (714.0)

    Tendon transfer or transplant, carpometacarpal area or dorsum of hand, single; without free graft, each (26480)
    Arthrotomy for synovial biopsy; metacarpophalangeal joint (26105)
    Release, intrinsic muscles of hand (26593)
    Extensor tendon realignment, hand (26437)
    Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit (26135)


    American
    Society
    for
    Surgery
    of the
    Hand
    assh.org

    The Best
    Resource
    For Your
    Hands,
    Period.

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