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Flexor tenosynovectomy - Stuck on this one

  1. #1
    Location
    NEW ORLEANS
    Posts
    954
    Default Flexor tenosynovectomy - Stuck on this one
    Medical Coding Books
    Stuck on this one
    Diagnosis -right toe flexor tenosynovitis, adhesions secound toe PIP JOINT

    OPERATION : FLEXOR TENOSYNOVECTOMY RIGHT SECOUND TOE , RELEASE PIP JOINT OF SECOUND TOE

    PROCEDURE :An incision was made longitudinally on the plantar aspect of the 2nd toe and the flexor tendon identified, with neurovascular structres protected. A flexor tenosynovectomy was performed. Clear synovial fluid flowed from the flexor tendon sheath, indication inflammation. There was no sign of infection. The PIP joint was stiff in the secound toe , so a medial incision was made and cae taken to protect the neurovascular structures. . The extensor tendon was elevated laterally and the PIP joint release was performed with capsular release.Full range of motion was obtained after release. Both incisions were injected with Marcaine and 80mg Depo- Medrol


    would cpt code 28086 be the right code ?

  2. #2
    Location
    Albany, New York
    Posts
    456
    Default
    Sounds okay to me.
    What about 28272 in addition to your CPT choice?
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Location
    NEW ORLEANS
    Posts
    954
    Default
    thanks, never thought looking at 28272, thanks

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