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Thread: need help with CPT for tumor excisions 3 different fingers??

  1. #1

    Question need help with CPT for tumor excisions 3 different fingers??

    AAPC: Back to School
    We have a difference of opinion of how this should be coded. It is on three different fingers.

    The finger was exsanguinated and the Penrosetourniquet placed at its base. Using 4.5 power loupes, an elliptical incisionsurrounding the mass on the dorsal aspect of the left ring finger was madefrom the eponychial fold proximal. Full-thickness flap was carefully elevatedwith 15 blade off the tumorous mass. It seemed to emanate through the extensortendon on the ulnar side. It was dissected back to the joint and part of the
    extensor tendon was split by an osteophyte. The tendon material was partially
    elevated off the osteophyte and this was removed with a rongeur. The joint was
    entered. A synovectomy was accomplished and further rongeuring was done. The
    tumor was excised completely. It appeared as a mucous cyst. The skin flap was
    released after repairing the extensor tendon with 4-0 PDS suture and the skin
    was then sewn 5-0 nylon.

    Should these be coded to 26160 for the left ring finger?
    Last edited by Networker3412; 03-01-2011 at 04:08 PM. Reason: too long

  2. #2


    if coming back mucous/ganglion yes I would bill 26160 with finger modifier(s)

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