Surgery: Musculoskeletal System (Q&A) (April 2010)

April 2010 page 10a Surgery: Musculoskeletal System (Q&A) Question: When performing a palmar fasciotomy for Dupuytren’s disease to release the contracture, in which the disease may involve each hand, may code 26040 be reported for each digit released per hand? Would  Modifier 50, Bilateral procedure , be appended, if performed on each hand? Answer: CPT code 26040 , Fasciotomy, palmar (eg, Dupuytren’s contracture); percutaneous , is reported only once per hand per session. When a palmar percutaneous fasciotomy is performed, the release of each cord is not reported with code 26040 .  Modifier 50 may be appended to CPT...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article provides a brief coding Q&A focused on a musculoskeletal surgery scenario involving hand treatment in the CPT system. It is useful for coders who want to understand the scope of the question, the coding context, and the modifier topic addressed in the discussion.

Why This Topic Matters

It helps coders quickly identify whether the article addresses a hand-surgery reporting question and whether it is relevant to CPT coding and bilateral procedure reporting.

What You Will Learn

  • The coding topic addressed in the Q&A
  • How the article frames reporting for a bilateral hand procedure
  • What general modifier issue the discussion covers
  • The scope of the CPT-related guidance presented in the article

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance professionals
  • Orthopedic and hand-surgery coding specialists

Codes Discussed

Modifiers Discussed


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