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PIP contracture

L Posted Sun 29th of March, 2015 21:25:40 PM

How would I code the following:
DIAGNOSIS:
1.Left small finger posttraumatic PIP contracture.
2.Palmar fibromatosis cord, volar radial base of small finger and fourth webspace.

PROCEDURE:
1.Left small finger PIP contracture release and excision of bony buildup (posttraumatic exostosis), volar PIP recess.
2.Release of palmar fibromatosis scar cord at fourth webspace.

Thanks!

SuperCoder Answered Mon 30th of March, 2015 02:25:39 AM

ICD-9-CM codes:
1. ICD-9 code 728.6.

CPT codes:
1. CPT code 26035 with -F4 modifier for Left small finger PIP contracture release.
2. CPT code 26210 with -F4 modifier for excision of bony buildup (posttraumatic exostosis).
3. CPT code 26123 for Release of palmar fibromatosis scar cord at fourth webspace.

(use CPT code 26123 alone, if left small finger PIP contracture release and Release of palmar fibromatosis scar cord at fourth webspace were performed through same incision).

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