Wiki A1 trigger release and flexor tenolysis same digit

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jbonanno

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My doctor has performed right tumb A1 trigger release and right thumb flexor tenolysis. He wants to bill 26442 (Tenolysis, flexor tendon; palm AND finger, each tendon) and 26055 (Tendon sheath incision eg, for trigger finger).

Can these codes be billed on the same finger? The diagnoses are: Right thumb trigger thumb and right thumb flexor synovitis.

Thank you.
 
According to NCCI edits those codes are bundled. You can only bypass the CCI edit rule with a -59 modifier, however since both procedures are done on the same finger it does not qualify. You should stick with just the 26442 in this case
 
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