Networker3412
Networker
We have a difference of opinion of how this should be coded. It is on three different fingers.
The finger was exsanguinated and the Penrosetourniquet placed at its base. Using 4.5 power loupes, an elliptical incisionsurrounding the mass on the dorsal aspect of the left ring finger was madefrom the eponychial fold proximal. Full-thickness flap was carefully elevatedwith 15 blade off the tumorous mass. It seemed to emanate through the extensortendon on the ulnar side. It was dissected back to the joint and part of the
extensor tendon was split by an osteophyte. The tendon material was partially
elevated off the osteophyte and this was removed with a rongeur. The joint was
entered. A synovectomy was accomplished and further rongeuring was done. The
tumor was excised completely. It appeared as a mucous cyst. The skin flap was
released after repairing the extensor tendon with 4-0 PDS suture and the skin
was then sewn 5-0 nylon.
Should these be coded to 26160 for the left ring finger?
The finger was exsanguinated and the Penrosetourniquet placed at its base. Using 4.5 power loupes, an elliptical incisionsurrounding the mass on the dorsal aspect of the left ring finger was madefrom the eponychial fold proximal. Full-thickness flap was carefully elevatedwith 15 blade off the tumorous mass. It seemed to emanate through the extensortendon on the ulnar side. It was dissected back to the joint and part of the
extensor tendon was split by an osteophyte. The tendon material was partially
elevated off the osteophyte and this was removed with a rongeur. The joint was
entered. A synovectomy was accomplished and further rongeuring was done. The
tumor was excised completely. It appeared as a mucous cyst. The skin flap was
released after repairing the extensor tendon with 4-0 PDS suture and the skin
was then sewn 5-0 nylon.
Should these be coded to 26160 for the left ring finger?
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