Results 1 to 4 of 4

Cpt 26676

  1. #1
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default Cpt 26676
    Exam Training Packages
    Today is my day for questions! Hope someone can shed some light.

    Code 26676 states 'each joint' and I want to make sure I have this correct before I tell my physician to code anything additional.

    The note states: I placed three of the 0.045-inch
    K-wires to fix the fracture. One was placed through the base of the fifth
    metacarpal into the hamate. The second was placed in the fourth metacarpal
    base into the capitate and the third was directed from the fifth into the
    fourth and into the third metacarpal base.

    This looks like 3 joints to me; Am I totally off here? He is coding 26676 x 1 and I thinking 26676 x 3 for 3 joints.

    If I am totally off I hope someone gets a good laugh at my 'goof'.

    Thanks
    Tina

  2. #2
    Default 26676
    Hi,

    I do agree with you.

    seems three different sites, has to be reported thrice.

    as per the CDR : The physician manipulates a carpometacarpal dislocation (other than the thumb) to restore anatomical position and secures the bone with a wire. The physician determines the dislocated position of the bone. The bone is relocated to the correct anatomical position using external manipulation. The physician drills a wire through the carpometacarpal joint. The drill entry point is dressed and the hand is splinted..

    THANKS!
    Mohd Ali Hadi- CPC-H

  3. #3
    Default
    I think the question is how many dislocated/fractured joints there were. If he's using 3 wires to fix one fracture, then I think he'd only bill the code 1x. If he's actually fixing 3 separate joints, then x3. Check his dx as to how which joint(s) was involved in the fx/dislocation & ask your doctor if unclear. Anyway, that's what I'd do. Have a good day!
    Last edited by Frosty; 02-29-2008 at 08:18 AM.

  4. Default
    Agreed... Looks like X3

Similar Threads

  1. Does cpt code 64450 include cpt s0020?
    By micki127 in forum Anesthesia
    Replies: 1
    Last Post: 04-23-2014, 09:40 AM
  2. Opinion on physicians supplying surgical cpt cpt codes
    By ORTHO1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2010, 03:15 PM
  3. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-21-2009, 11:33 PM
  4. Coding for CPT 97140 & CPT 97035
    By neha.bhatnagar in forum Modifiers
    Replies: 5
    Last Post: 06-09-2009, 11:01 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?

Login

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.