Charlene Posted Mon 09th of October, 2017 16:07:15 PM
Physician repaired FDS and FDP of index, middle, ring, and small fingers and FCU, FCR and Palmaris Longus
Is repair of each muscle to the finger considered one repair or two? It seems the physician coded each only once.
Would the above be coded as 25260 7 or 11 times?
SuperCoder Answered Tue 10th of October, 2017 08:41:54 AM
Repair of FCU, FCR and palmaris longus will be coded by CPT code 25260 with 3 units.
There is a separate CPT code for FDP and FDS repair.
CPT code for FDP 26370 will be coded for repair performed at index, middle, ring, and small fingers.
Repair of FDS will be coded considering the zone in which the repair is performed:
If repair is performed in Zone 2, then the appropriate CPT code will be 26356.
If not in Zone 2, then use CPT code 26350.
Please use appropriate code as per your operative report.
Hope this helps! Further query is welcome
Charlene Posted Tue 10th of October, 2017 11:44:27 AM
I apologize for my lack of clarity. It always seems clear the first time out. The complex lacerations were in the forearm not hand/fingers. The muscles and tendons were identified by the fingers they control.
The FDP of middle, ring, small fingers was identified as one muscle belly and repaired. The FDP of index finger was repaired separately. The FDS of index, middle, ring & small fingers were individually repaired.
So my biggest quandary is whether this would be considered 8 units of 25260?
SuperCoder Answered Wed 11th of October, 2017 06:07:35 AM
Thanks for the information, the appropriate billing units according to the above scenario will be coded as 25260 with 9 units. The breakup is as follows:
1 unit for FDP of middle, ring, small fingers was identified as one muscle belly
1 units for FDP of index finger was repaired separately
4 units for FDS of index, middle, ring & small fingers that were individually repaired.
3 units for FCU, FCR and palmaris longus repair.
Hope this helps!