what is difference between cpt code and 26045 & 26121-26125
looking tthis procedure I want to code 26123?and 64702?may be wrong
PREOPERATIVE DIAGNOSIS: Right long finger Dupuytren's contracture.
POSTOPERATIVE DIAGNOSIS: Right long finger Dupuytren's contracture.
OPERATIONS PERFORMED: Dupuytren's contracture release, with excision of Dupuytren's tissue, fasciectomy of the palm, and neuroplasty of the radial and ulnar digital nerves to the long finger.
PROCEDURE IN DETAIL:
gentleman with a right Dupuytren's contracture that he has noticed some worsening. After appropriate consent was obtained, the site was marked, and he was brought to the operating suite. His right upper extremity was prepped and draped in the normal sterile fashion. After general anesthesia was instituted without difficulty, antibiotics were given. The tourniquet was inflated to 250 mmHg. Time out was called. A zigzag incision was made in the palm in line with some of the skin creases. The skin flaps were elevated full thickness and sutured to open up the hand. It was placed in the _____ hand for additional retraction. The Dupuytren's tissue was dissected circumferentially and proximally and released with a 15 blade. The neurovascular structures were identified during this process, and meticulous dissection around the Dupuytren's contracture and the neuroplasties performed of the radial and ulnar digital nerves all the way to the proximal extent of the digit to ensure that it was not caught up in the Dupuytren's tissue. The flexor tendon was also identified, and the Dupuytren's tissue was excised as one unit and sent to Pathology for evaluation. The radial and ulnar digital nerves were again confirmed to be intact as was the tendon. The wound was copiously irrigated. Closure was with a 4-0 nylon suture followed by bulky soft dressing on the finger and an extension splint. There were no complications.
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