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Neurology & Pain Management Coding Alert

Pain Management:

Don't Get Tense Over Coding Dupuytren's Contracture

Published on Sun Nov 25, 2012

Tip: Narrow your choices by surgery, injection, or follow-up. Your injection coding got easier when CPT ® 2012 introduced two new codes for Dupuytren's contracture treatment. But don't just drop a code on your claim and keep moving; pay attention to the specific instructions and watch Correct Coding Initiative (CCI) edits to ensure you correctly report the service. Understand the Treatment Options Each code for Dupuytren's contracture treatment represents some type of procedure involving the palmar fascial cord (surgical release, injection, or manipulation). "A non-operative option to treat this is exercises and splints, but more severe contractures have often needed surgical release in the past, in which surgery is done to release the contracted fascia and other soft issues," explains  Bill Mallon, M.D., medical director of Triangle Orthopedic Associates in Durham, N.C. Surgical option: If your physician completes contracture release, CPT® includes two coding choices. A pain management specialist normally wouldn't [...]
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