Wiki 26055 with 26160

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Rufus186

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Sanford, ME
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Pt presents with Rt ring trigger finger and Rt middle trigger finger w/a Rt middle retinacular cyst. MD incised between middle and ring and removed the two cysts from the fiber osseous pully system, Pulleys opened up,AO was quite thickened with quite a bit of tenosynovium at the FDS and FDP. The tendons were drawn out and debrided. Rt middle trigger procedure done only. Does a seperate lesion justify mod 59 since it is the same incision pt also has dx of cyst and trigger finger. Suggestions appreciated, thank you!

26160,f7
26055,59,51,f7
26055,51,f8
 
I would think that no, even though it is a different lesion it is the same incision and when running through NCCI 26055 is considered "a component of the procedure". I would code this 26160-f7 and 26055,51,F8. I would like to hear others input. Hope this helps!
 
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