Wiki Carpal Boss Excision

[coderguy1939]

I'd like to know what procedure codes other coders use for excision of a carpal boss located at the carpometacarpal joint. I can find codes for the carpal or metacarpal bones but not for the carpometacarpal joint. Thanks.

 

[mbort]

can you post the sanitized note?

 

[coderguy1939]

There is no op report. This is a request for a CPT code for preauthorization for bone excision at the carpometacarpal joint for carpal bossing.

 

[mbort]

I would go with the 25130 then

 

[coderguy1939]

Thanks, I appreciate your input.

 

[EbonyS123]

Carpal bossing dx

I would like to know what other coders are using for carpal bossing dx?

 

[sdomel159]

I agree with 25130

 

[martnel]

I would like to know what other coders are using for carpal bossing dx?

I use 726.91, with the 25130 CPT, as others has said.

 

[Jamie Dezenzo]

Per Orthro coding alert (Jan. 2006)

READER QUESTIONS: Look to 26230 for Carpal Bossing

Question: Which CPT and ICD-9 codes should I report when the surgeon documents carpal bossing?


Texas Subscriber


Answer: Because a carpometacarpal boss occurs at the base of the second and third metacarpals, it constitutes a “partial” excision. Therefore, you should report 26230 (Partial excision [craterization, saucerization, or diaphysectomy] bone [e.g., osteomyelitis]; metacarpal) when the surgeon documents carpal bossing.

For the diagnosis code, the American Society for Surgery of the Hand recommends 718.04 (Articular cartilage disorder; hand).

If your surgeon thinks that 733.99 (Other and unspecified disorders of bone and cartilage; other) is more appropriate for your patient's case, you should select that code instead.

 

[EbonyS123]

Thanks Martn, I appreciate your help.

 

[martnel]

Jamie, I like your answer! Will ponder over it a bit more!