CPT Knowledgebase - Jun 29, 2023

Is it appropriate to separately report the repair of the interphalangeal joint collateral ligament (26540) when performed on the same joint as an interphalangeal joint arthroplasty with implant (26536)? The radial collateral ligament was previously disrupted, and the ulnar collateral ligament was released during the procedure. Both were reattached after the permanent implant was placed, along with a volar plate reattachment. Some surgical descriptions of interphalangeal joint arthroplasty procedures describe release of the ligaments to access the joint space, but others say the collateral ligaments are spared.

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