Lateral epicondylar release
Q. Some of us have started doing a modified lateral epicondylar release using a Topaz thermal cautery device. Would we be able to report 25290—Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon; 24310—Tenotomy, open, elbow to shoulder, each tendon; and 24356—Fasciotomy, lateral or medial (e.g., tennis elbow or epicondylitis), with partial ostectomy?
A. This is an extensor origin detachment for lateral epicondylitis, 24351(
now deleted). The method of tissue dissection or cutting is not relevant. It is the physician's work—not the tool—that is being reimbursed.
http://www2.aaos.org/aaos/archives/bulletin/apr06/coding2.asp
CPT now directs us to use 24357-24359
Mary is definetly a guru is this area but I do recall this question being asked in one of Ortho seminars that I attended. Can you type the entire procedure or is it too lengthy?