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Coding guidance

louise Posted Fri 10th of January, 2020 13:49:27 PM
hand index finger metacarpophalangeal wound exploration. Bone biopsy of index finger metacarpal and proximal phalanx. 26235 MCP arthrotomy with synovial tissue biopsy and synovial fluid culture.26105 or 26110
SuperCoder Answered Mon 13th of January, 2020 04:29:23 AM

Hi Louise,

For metacarpophalangeal (MCP) arthrotomy with synovial tissue biopsy, CPT 26105 is appropriate. In this, the provider makes an incision in the skin just above the metacarpophalangeal joint, dissecting down through the subcutaneous tissue to the joint capsule. He incises and opens the joint capsule. The provider explores the joint space to detect any abnormality. He then takes a biopsy of the joint tissue, like synovial tissue, for analysis. Finally, he irrigates the wound with antibiotic solution and closes the wound in layers. He may leave a drain in place if required.

Hope this helps!

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