Orthopedic Coding Alert

Reader Question:

26540 Is Specific To Hand Collateral Ligament Repair

Question: In a patient diagnosed with left thumb chronic MCP radial collateral ligament sprain, our surgeon did a repair of left thumb MCP radial collateral ligament rupture. How can we report this repair?


New York Subscriber

Answer: For the repair of the MCP collateral ligament, you report code 26540 (Repair of collateral ligament, metacarpophalangeal or interphalangeal joint). The diagnosis code for the chronic sprain is 718.84 (Other joint derangement not elsewhere classified involving hand) and 905.7 (Late effect of sprain and strain without tendon injury). 

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