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Closed reduction of fracture

  1. Default Closed reduction of fracture
    Medical Coding Books
    Can the cpt for closed reduction of metacarpal be coded along with cpt for percutaneous pinning? 26605,26608
    Or would you code a cpt code from the 20650-20692 sets

    Patient was taken to operating room and closed reduction was performed and percutaneous pinning using four k-wires. Fracture was held in place and reduced using four k-wires.

  2. Default
    In our clinic we would just use CPT 26608, percutaneous skeletal fixation of metacarpal fracture.

  3. Default Metacarpal fracture
    Quote Originally Posted by maryannelaroque View Post
    In our clinic we would just use CPT 26608, percutaneous skeletal fixation of metacarpal fracture.
    So then the pinning is the percutaneous fixation?

  4. Default
    Quote Originally Posted by amartinez1 View Post
    So then the pinning is the percutaneous fixation?
    Yes, percutaneous skeletal fixation would be the pinning with the K-wires.

  5. Default
    Does anyone use the F1-FA modifiers on 26608? I understand a metacarpal isn't technically a digit, per say, but the code specifies each bone. And wouldn't it make more sense to specify which bones involved with the F modifiers then to use -59 on each bone involved in the fixation?

  6. #6
    Default
    Quote Originally Posted by Kelly_Mayumi View Post
    Does anyone use the F1-FA modifiers on 26608? I understand a metacarpal isn't technically a digit, per say, but the code specifies each bone. And wouldn't it make more sense to specify which bones involved with the F modifiers then to use -59 on each bone involved in the fixation?
    I don't think the modifiers are necessary. 5 metacarpals are in a hand, 26608 has MUE of 5 units. If 3 of the 5 metacarpals are broken I believe you bill 26608 x3 on one line and not a separate line for each metacarpal with a fracture?
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