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Thread: Revision of Incision...help!!

  1. #1

    Question Revision of Incision...help!!

    AAPC: Back to School

    Not quite sure how to code this. Any help would be appreciated.

    I coded the excision of neuroma 64782, does that look correct? Im not quite sure how to code the revision of incision. Please help!

    Preoperative Diagnosis:
    1. Prior carpal tunnel release.
    2. Incisional tenderness with nodular tissue along the incision line consistent with a subcutaneous neuroma.
    3. Postoperative MRI scan revealing no residual median nerve compression in the carpal tunnel.
    Postoperative Diagnosis: Same.

    1. Revision of carpal tunnel release incision.
    2. Excision of subcutaneous nodule consistent with neuroma
    Last edited by gurtmurt79; 02-03-2010 at 07:49 AM.

  2. #2

    Red face

    Because the documentation doesn't state that this IS a neuroma, only that it's a subcutaneous nodule "consistent with" a neuroma, I would not use a neuroma excision code, but would instead use:

    25075 Excision, tumor, soft tissue of orearm and/or wrist area, subcutaneous; less than 3 cm

    There is no need to code the "incision revision" separately, as it merely describes the approach to the excision.

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