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Thread: Need some help please

  1. #1

    Smile Need some help please

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    I have a op note that reads wrist incision overlying the extensor compartments. The retinaculum was identified and freed up for the first, second and third extensor compartments. There was a separate slip for the extensor pollicis brevis tendon that was also released. Not sure what codes to use for this one. 25000 x3 or what????

    Thanks for your help!
    tgiglio

  2. #2
    Join Date
    Apr 2007
    Location
    West St. Louis
    Posts
    39

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    is a modifier allowed and if so can you use a 59 to indicate it was a seperate procedure??

  3. #3
    Join Date
    Apr 2007
    Location
    Detroit, MI 31312
    Posts
    115

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    I just went through this with my physician's, and they only specified release of the compartments. when I asked one of my Dr's, he actually informed me that he released a total of 7 tendons. He had to re-dictate and specify the tendons so that I could bill each one separately. I was able to get him more money by having him be more specific and clarify what he actually performed. This always seems to be a problem with my facility and my Docs would much rather me ask especially if I can get them more money!
    Stephanie Phillips, CPC-H
    sphillips@orhmi.com

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