Tanesha Posted Tue 26th of December, 2017 10:06:30 AM
Since the flexor tendons weren't released at the PIP joint in relation to the fingers (I queried), would you just code 21621?
After Esmarch exsanguination, the tourniquet was elevated to 250 mmHg. A Brunner incision was made between the ring and small finger rays in the hand. This was extended in a Brunner fashion onto the ring and small fingers. Large skin flaps were raised. The neurovascular bundles were identified proximally in the palm and traced out distally. Once neurovascular bundles to both ring and small fingers had been identified and protected, the diseased fascia was excised sharply with a 15 blade. This allowed complete correction of the small finger and near complete correction of the ring finger. He had a persistent 10-degree PIP flexion contracture. Complete correction of the MCP of the ring finger. Attention was then turned to the middle finger. A Brunner incision was made in the palm and extending out into the middle finger. Large skin flaps were raised. Again, the radial and ulnar neurovascular bundles were identified and protected. These were traced out distally. The diseased fascia was then excised. This allowed complete correction of the middle finger deformity.
SuperCoder Answered Wed 27th of December, 2017 06:55:49 AM
If the flexor tendons weren't released at the PIP joint in relation to the fingers then CPT code 26121 seems appropriate. If provider releases tendons at the middle joint/proximal interphalangeal joint, of a single finger then CPT code 26123 would be appropriate to bill.
Hope this helps!