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hand coding

K
Wiki HELP! anterior interosseous nerve to motor branch of ulnar nerve transfer

I want to code 64718, 64719, and 69990, but my doc wants another CPT code for the anterior interosseous nerve transfer. Isn't it included or am I missing another code? 1.Right cubital tunnel release with anterior subcutaneous transposition of the ulnar nerve. 2. Decompression of ulnar nerve...
- kmuth
- Thread
- Jan 5, 2022
- hand coding help nerve transfer orthopaedic
- Replies: 1
- Forum: Orthopaedics
K
Wiki Intrinsic release of the index middle ring and small finger/opponens pollicis release

I am not 100% sure on how I should code this, but I am thinking 26593x4 and 26440 for the opponens release. Any advice is appreciated! POSTOPERATIVE DIAGNOSIS(ES): Volkman's contracture of the left hand PROCEDURE: Intrinsic release of the index middle ring and small finger and release of the...
- kmuth
- Thread
- Oct 13, 2021
- hand coding hand specialist hand surgery intrinsic opponen ortho orthopaedics
- Replies: 0
- Forum: Orthopaedics
K
Wiki Fasciectomy/Contracture/ Partial Palmar

Can someone please direct me with the coding. Would you code 26123 and 26125? F8 &F9? Insurance is saying the codes are not supported. Any help is appreciated. Preoperative diagnosis: Dupuytren's disease right hand with significant MP joint contractures of the ring finger small finger and a...
- kmuth
- Thread
- May 13, 2021
- dupuytren fasciectomy hand coding orthopaedic
- Replies: 1
- Forum: Orthopaedics
K
Wiki Cross-finger flap with split thickness skin graft

Please help! I am not sure if I should code 15574 or 14350 for the cross finger flap and 15100 for the graft? Amputation of tip of right long finger with exposed distal phalanx. OPERATION PERFORMED: Cross-finger flap from right ring finger to right long finger and split-thickness skin graft...
- kmuth
- Thread
- Mar 17, 2021
- finger amputation hand coding orthopaedic skin flaps skin graft
- Replies: 0
- Forum: Orthopaedics
K
Wiki External Neurolysis

I need advice as I have never coded an external neurolysis. I know internal would be the primary cpt plus 64727, but would this be 64708? PREOPERATIVE DIAGNOSIS: Laceration to the left index finger dorsal aspect in the MP joint area. POSTOPERATIVE DIAGNOSIS: Laceration to the left index finger...
- kmuth
- Thread
- Oct 30, 2020
- external neurolysis hand coding orthopaedic
- Replies: 2
- Forum: Orthopaedics
K
Wiki Excision dupuytren's nodule & trigger finger release

My doc wants me to bill for the trigger finger portion and the nodule excision, but I feel like the nodule was incidental? Am I incorrect? Preoperative diagnosis: Right long trigger finger Dupuytren's nodule Postoperative diagnosis: Right long trigger finger Dupuytren's nodule Operation...
- kmuth
- Thread
- Oct 21, 2020
- dupuytren's nodule hand coding orthopaedic trigger finger
- Replies: 4
- Forum: Orthopaedics
E
Wiki Defining radical in 26145

Hello, I am looking for help in defining what constitutes a Radical Tenosynovectomy and when to use 26145. Does the surgeon need documentation of pathological tenosynovium for code 26145? Thank a You in advanced, Eva Wade CPC-A
- Evaxtine
- Thread
- Sep 17, 2020
- 26145 code 26145 hand hand coding ortho orthopedic orthopedic coding
- Replies: 0
- Forum: Medical Coding General Discussion
K
Wiki Excision of mass left small finger, left carpal tunnel release

How would you code this? I am reading mucoid degeneration and he keeps extending the incision, but I don't think an actual cyst was removed. The carpal tunnel was not planned, can I bill it with the cyst excision 26160 or should I bill the arthrotomy with exploration 26070-26080? Preoperative...
- kmuth
- Thread
- Sep 17, 2020
- carpal tunnel hand coding ortho specialty coding orthopaedic
- Replies: 1
- Forum: Orthopaedics
K
Wiki Finger Capsulotomy/ Tenolysis

I don't like hand coding and would love any webinar recommendations, or just general reading information to help me dive deeper. This doc tends to lack details/ dictation but when queried he doesn't respond or will say don't bill it. With this surgery I just don't think there is enough details...
- kmuth
- Thread
- Aug 4, 2020
- capsulotomy hand coding orthopaedic tenolysis
- Replies: 1
- Forum: Orthopaedics
K
Wiki Repair extensor pollicis longus left hand

I was just wondering if I can only code the repair 26418 or if I can also code the exploration. POSTOPERATIVE DIAGNOSIS(ES): Extensor pollicis laceration left hand PROCEDURE: Surgical exploration of the wound, repair of the extensor pollicis longus left hand INDICATIONS: Patient suffered a...
- kmuth
- Thread
- Jul 30, 2020
- extensor hand coding hand specialist orthopaedic
- Replies: 3
- Forum: Orthopaedics
M
Wiki Excision of Osteophyte from DIP 26080 vs 26236 vs 26210

Hello, I would greatly appreciate another coder's opinion on how they would code the following op report? A longitudonal incision was made from the nail fold proximally in the midlateral line after elevating the upper nail fold from the nail plate with a freer elevator. A full thickness skin...
- MI_CODER
- Thread
- Oct 31, 2017
- hand coding interphalangeal joint orthopedic coding
- Replies: 3
- Forum: Orthopaedics
C
Wiki Exam Components for E/M

Dr. does a Physical Exam on his patients for these following areas: General (Constitutional) Head Eyes Ears, nose, mouth, throat Extremities (Excluding a separate hand exam that he documents seperatly, below) Neuro Skin He then usually does a Normal Wrist exam for Carpal Tunnel (He is a hand...
- codi.zeibig@gmail.com
- Thread
- Oct 12, 2016
- e/m exam extremity hand coding muscu
- Replies: 3
- Forum: E/M

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