Cpt code scapholunate ligament tear repair12/31/2022 ![]() ![]() Removal of the trapezium or trapezoid is included in CPT code 25447. Multiple procedure modifier 51 would be used with code 26480 because it has a lower relative value than 25447. ![]() Because there is no National Correct Coding Initiative (NCCI) edit between codes 2540, it is not necessary to use modifier 59 for this code combination. When a flexor carpi radialis tendon graft is harvested in the forearm for arthroplasty stabilization, the American Society of Surgery for the Hand (ASSH) has instructed its members to utilize code 26480 for reporting Transfer or transplant of tendon, carpometacarpal area or dorsum of hand without free graft, each tendon based upon directives published in “CPT Assistant.” This code represents the location of the tendon placement, not the location of harvesting. Whether excisional arthroplasty is performed with an interposition tendon graft, tendon suspension, or allograft tightrope, all methods are reported with CPT code 25447, Arthroplasty, interposition, intercarpal or carpometacarpal joint. Hand surgeons use a range of techniques for first carpometacarpal (CMC) excisional arthroplasty. ![]() Incorrect reporting of first CMC excisional arthroplasty and associated services.Be consistent when creating the operative note procedure list and documenting operative detail within the note body. If intra-articular, the operative note must specify the number of fragments (one to two or three or more). An example is distal radius fractures, which require documentation of whether the fracture is extra- or intra-articular. Location specificity also is essential in fracture management reporting. In particular, zone 2 flexor tendon repairs in the hand are important, as a separate CPT code is used to describe such procedures. Codes are selected based on the location of the repair, not the site of tendon insertion. Lack of specificity in documentation of tendon repair and fracture managementĬurrent Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. ![]() Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. Billing for hand procedures is among the most complex types of orthopaedic coding. ![]()
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