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Carpal Boss Excision

  1. #1
    Default Carpal Boss Excision
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    I'd like to know what procedure codes other coders use for excision of a carpal boss located at the carpometacarpal joint. I can find codes for the carpal or metacarpal bones but not for the carpometacarpal joint. Thanks.

  2. #2
    can you post the sanitized note?

  3. #3
    There is no op report. This is a request for a CPT code for preauthorization for bone excision at the carpometacarpal joint for carpal bossing.

  4. #4
    I would go with the 25130 then

  5. #5
    Thanks, I appreciate your input.

  6. #6
    Default Carpal bossing dx
    I would like to know what other coders are using for carpal bossing dx?

  7. #7
    Austin, Texas
    I agree with 25130

  8. #8
    Quote Originally Posted by emr7775 View Post
    I would like to know what other coders are using for carpal bossing dx?
    I use 726.91, with the 25130 CPT, as others has said.

  9. Default
    Per Orthro coding alert (Jan. 2006)

    READER QUESTIONS: Look to 26230 for Carpal Bossing

    Question: Which CPT and ICD-9 codes should I report when the surgeon documents carpal bossing?

    Texas Subscriber

    Answer: Because a carpometacarpal boss occurs at the base of the second and third metacarpals, it constitutes a “partial” excision. Therefore, you should report 26230 (Partial excision [craterization, saucerization, or diaphysectomy] bone [e.g., osteomyelitis]; metacarpal) when the surgeon documents carpal bossing.

    For the diagnosis code, the American Society for Surgery of the Hand recommends 718.04 (Articular cartilage disorder; hand).

    If your surgeon thinks that 733.99 (Other and unspecified disorders of bone and cartilage; other) is more appropriate for your patient's case, you should select that code instead.

  10. #10
    Thanks Martn, I appreciate your help.

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