Cpt code for fasciectomy finger In this add on procedure to palmar fasciectomy, the provider surgically releases constriction in an additional finger, including the middle joint of that finger. CPT code 26123 is used for partial palmar fasciectomy with release of single digit, including the proximal interphalangeal joint (PIP). Dec 1, 2022 · I have a doctor who likes to pre-code his op reports. INDICATION: Patient is a 59-year-old male who presents with fixed fibrous Dupuytren disease affecting the MP joint of his left ring and small finger Files related to . FOURTH RAY PARTIAL FASCIECTOMY LEFT HAND 2. Subscribe to Codify by AAPC and get the code details in a flash. However, he does specifically state that he did a release of the A-1 pulley in each of these fingers. Files related to Fasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); partial palmar excision with release of each additional digit, including proximal interphalangeal joint (26125) CPT codes not covered for indications listed in the CPB (not all-inclusive): Continuous slow skeletal traction, hand therapy after collagenase treatment, middle-phalanx excision and ligament reconstruction - no specific code: 0101T: Extracorporeal shock wave involving musculoskeletal system, not otherwise specified, high energy : 15769 Hand Surgery CPT Codes, sorted by number Radical resection of tumor eg, malignant neoplasm), soft tissue of hand or finger (26117) Fasciectomy, palmar only, with . CPT Code 26110 CPT 26110 describes arthrotomy with a biopsy of Reference materials for these codes is provided below. A fasciectomy allows you to straighten and move your fingers. Fasciotomy (26040-26045): an incision through the fascia. Fasciectomy and Scar Release Procedure CPT Codes; Fasciotomy CPT Codes; Hand Surgery CPT Codes, sorted by number; Dupuytrens Codes Jan 18, 2025 · CPT® Code 26125 in section: Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) CPT 26125: “each additional digit (List separately in addition to code for primary procedure)” CPT 20694: “Removal, under anesthesia, of external fixation system” Possible HCPCS code for Durable Medical Equipment: L3921: Hand finger orthotic, includes one or more nontorsion joints, elastic bands, turnbuckles, Below is a list summarizing the CPT codes for excision procedures on the hand and fingers. For Android devices: Google Play Jun 1, 2016 · HOW WOULD YOU CODE? 1. My thought was 26123, and 26125 x2. Feb 22, 2022 · CPT code 26045 vs 26123. Surgeon: In incision was made in the palm of the left hand beginning in the area of the proximal palmer flexion crease in line with the left small finger and extending as Y to V plasty incision towards The Current Procedural Terminology (CPT ®) code 26123 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Hand and Fingers. An orthopaedic hand surgeon removes thick, tight fascia tissue in the palm of your hand. A patient with severe Dupuytren’s disease in the left hand presented for an open fasciectomy of the small finger including release of the distal interphalangeal joint (DIP), proximal interphalangeal (PIP) and metacarpophalangeal (MP) joints, with open fasciectomy of the palm of the index, middle Mar 27, 2010 · Code "26125 is an add-on code required to identify each additional digit," says Gloria Moran, practice manager for Jacksonville Orthopaedic Institute, University Division, in Florida. FOURTH DIGIT PARTIAL FASCIECTOMY LEFT HAND 4. Any help is appreciated. ANESTHESIA: Block with general. If the CPT Codes for the for the procedures associated with this Diagnostic Guide are not listed, then Hand Surgery Resource recommends using the references below to identify the proper CPT Codes. Fasciectomy and Scar Release Procedure CPT Codes. CPT code 26125 is used when a surgeon performs a partial palmar fasciectomy on one finger and identifies the need to release contractures in one or more additional fingers during the same operative session. MOST COMMON COMBO Contracture of palmar fascia (728. I recently reviewed a report in which he performed three fasciectomies of the same hand for Dupuytren's Contracture. Would you code 26123 and 26125? F8 &F9? Insurance is saying the codes are not supported. 2. CPT 26123 is used when a surgeon performs a fasciectomy on the palm to release a single digit, specifically addressing the proximal interphalangeal joint. The web page also provides descriptions and examples of each code. People with Dupuytren’s disease may need a fasciectomy to treat severely bent fingers (Dupuytren’s contracture). This procedure is primarily indicated for patients suffering from conditions that lead to the thickening and shortening of the fascia in the palm, which can result in limited hand function and deformities. CPT directs you to report +26125 with 26123. 6)--Single Finger: Fasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); partial palmar excision with release of single digit including proximal interphalangeal joint (26123) 3 days ago · AHA Coding Clinic ® for HCPCS - 2020 Issue 4; Ask the Editor Dupuytren’s contracture repair. Preoperative diagnosis: Dupuytren's disease right hand with significant MP joint contractures of the ring finger small finger and a PIP joint contracture of the small finger Fasciectomy and Scar Release Procedure CPT Codes; Local flap CPT Codes; Mucous Cyst Codes; PIP flexion contracture Codes; Thenar or Cross Finger Flap Codes; Carpal Tunnel Codes; Hand Surgery CPT Codes, sorted by number; Spasticity Procedures; Basal Joint Arthritis, Arthroplasty First Web Space Contracture Release; Congenital: Hypoplastic Thumb Files related to Fasciectomy, Fasciectomy and Scar Release Procedure CPT Codes; Hand Surgery CPT Codes, sorted by number; Dupuytrens Codes; American Society for Jul 31, 2020 · 1. Fasciectomy and Scar Release Procedure CPT Codes; Fasciotomy CPT Codes; Hand Surgery CPT Codes, sorted by number; Dupuytrens Codes Jun 7, 2016 · How would you code this? Left hand palmar fasciectomy involving the thumb, index, long, ring and small fingers. Because 26121 applies to palm-only procedures, you don't need codes specifically for digits. What is CPT code 26121? CPT code 26121 represents a surgical intervention known as fasciectomy of the palm. FIFTH DIGIT PARTIAL FASCIECTOMY LEFT HAND Brunner zigzag incision made from the ulnar mid palm at the distal carpal tunnel distalward towards Dupuytrens Codes Contractures Closure. CPT Code 26105 CPT 26105 describes arthrotomy with a biopsy of each metacarpophalangeal joint. then states he did trigger release rt index, rt middle and rt small fingers. * * * so now I am confused. Treatment may include Z–plasty, rearranging local tissue, or skin grafting. For Apple devices: App Store. Find the CPT and ICD codes for various procedures related to Dupuytrens contracture, such as fasciectomy, fasciotomy, tenotomy, and capsulectomy. Surgery isn’t a cure, but it can greatly improve your hand function. Palmer fasciectomy of all digits with PIP releases of the ring and small fingers. Should I code Jan 22, 2025 · CPT® Code 26123 in section: Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) Apr 2, 2006 · Check out the following common hand surgery terms so you can determine whether your hand surgeon performed a synovectomy, fasciectomy, or other procedure. For clinical responsibility, terminology, tips and additional info start codify free trial. Digital fasciectomy, left small finger with proximal interphalangeal and metatarsophalangeal joint contracture releases. Partial Palmar Fasciectomy (CPT Code 26123) In severe cases where the cord extends from the palm into the finger with significant finger contracture, Fasciectomy may be performed. Insurance denying 26123 and 26125 as services billed not documented. 26123 LT 26123 -76 LT 26125 59 F2 26125 59 Files related to . CPT Code 26100 CPT 26100 describes arthrotomy with a biopsy of each carpometacarpal joint. 1. When To Use CPT 26125. Partial palmar fasciectomy, left hand. Fasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); partial palmar excision with release of each additional digit, including proximal interphalangeal joint (26125) Excision of constricting ring of finger, with multiple Z-plasties (26596) 3. CPT QuickRef App. FIFTH RAY PARTIAL FASCIECTOMY LEFT HAND 3. This code should be used in conjunction with other codes only when additional digits are treated, in which case +26125 would apply for each additional digit. The ring and small fingers have severe contractures. He has it coded as: 26123-left hand fasciectomy of the palm fifth ray and small finger 26121-left hand fasciectomy of the first webspace 26121-left hand fasciectomy of the May 13, 2021 · Can someone please direct me with the coding. The Current Procedural Terminology (CPT ®) code 26045 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Hand and Fingers. Fasciotomy, palmar, for Dupuytrens contracture; closed (subcutaneous) (26040) Fasciotomy, palmar, for Dupuytrens contracture; open, partial (26045) Fasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); (26121) Files related to Fasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); partial palmar excision with release of single digit including proximal interphalangeal joint (26123) May 11, 2015 · Surgeon did a right palmar fasciectomy.