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bony mallet injury

  1. Wink bony mallet injury
    Exam Training Packages
    Hello all,

    I always get tripped up on these procedures.

    Pre/Post Dx: RT long finger bony mallet injury with distal IP joint incongruency
    Procedure: Closed reduction and axial pinning, bony mallet injury (0.062 smooth K-wire)

    Fluoro brought in. DIP joint closed reduction performed, correcting shaft volar subluxation incongruency reflective of collateral ligament incompetence with dorsal left fracture fragment. K-wire then placed, restoring DIP palmar congruency and a neutral-extended posture. Pin cut. Pin cap. PIP joint is supple passively.

    Still use 26432 rather DIP codes even not directly repairing tendon?

    Thanks!

  2. #2
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    I would use 26432, a torn or avulsed distal extensor tendon insertion is treated ia a closed fashion, with or w/o percu. pinning and the dx is mallet finger. The pinning and holding it in place to mend the tendon is repairing it.
    jdemar, CPC, CMA

  3. Default
    thanks again for your help!!!!

  4. #4
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    your welcome :O)
    jdemar, CPC, CMA

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