deborahcook4040
Networker
How do I bill a closed treatment with manipulation, percutaneous pinning and application of uniplanar small hand external fixator, 5th metacarpal.
I feel like I should be billing CPT 26607 - Closed tx of metacarpal fracture, with manipulation, with external fixation, each bone, along with 26608 - percutaneous skeletal fixation of metacarpal fracture, each bone.
These 2 codes are bundled per NCCI edits.
Documentation is as follows:
"Under flouroscopic imaging using a combination of metacarpal/phalangeal joint flexion, as well as superior pressure, as ascribed JAHSS maneuver was used to reduce and correct the angulation of this metaphyseal/diaphyseal fracture of the fifth metacarpal of the right hand. A crossing K wire was then placed from distal to proximal, to help reduce the fracture. Next, in order to provider more secure fixation and allow for earlier mobilization, a small, uniplanar hand external fixator was applied, one pin distal and one pin proximal, connected by a carbon rod."
Can I use a 59 modifier on the 26607?
Thanks
Debby
I feel like I should be billing CPT 26607 - Closed tx of metacarpal fracture, with manipulation, with external fixation, each bone, along with 26608 - percutaneous skeletal fixation of metacarpal fracture, each bone.
These 2 codes are bundled per NCCI edits.
Documentation is as follows:
"Under flouroscopic imaging using a combination of metacarpal/phalangeal joint flexion, as well as superior pressure, as ascribed JAHSS maneuver was used to reduce and correct the angulation of this metaphyseal/diaphyseal fracture of the fifth metacarpal of the right hand. A crossing K wire was then placed from distal to proximal, to help reduce the fracture. Next, in order to provider more secure fixation and allow for earlier mobilization, a small, uniplanar hand external fixator was applied, one pin distal and one pin proximal, connected by a carbon rod."
Can I use a 59 modifier on the 26607?
Thanks
Debby