Nicole Posted Wed 04th of May, 2016 10:47:19 AM
The doctor did an excision of an osteophyte of the little finger and arthrotomy of PIP joint of the little finger. I am billing for an ASC.
The doctors office used CPT code 26160, but the dictation does not state anything about a cyst.
I am leaning towards 26210, but still feel that this is incorrect because that is for a bone cyst.
Could CPT code 26080 work because this is for arthrotomy with removal of loose or foreign body?
SuperCoder Answered Thu 05th of May, 2016 01:49:14 AM
The most appropriate code in this scenario seems to be CPT 26210 (Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger), as there is an osteophyte of little finger which medically is a benign growth of the bone. The code states not only about the cyst but also the benign tumor.
Please check you documentation once, before billing.